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Sigmoidoscopy With Destruction of Growths

Washington, DC rates for HCPCS 45346

A flexible scope is passed through the anus into the lower part of the large bowel, and one or more growths or abnormal areas found there are destroyed in place using heat or a similar energy rather than being cut out. Stretching a narrowed segment or passing a guide wire, if needed to reach the target, is part of the service. It is usually done with light sedation as an outpatient.

Rates data updated October 2026.

How much does Sigmoidoscopy With Destruction of Growths cost?

$195

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $195 for this service. Most negotiated rates run $151 to $2,399.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,512 · 10th to 90th $537 to $16,218Professionalmedian $191 · 10th to 90th $135 to $2,884
$200$500$1K$2K$5K$10K$20Kfacility $2,512professional $191

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$2,137.96
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$380.19
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$91.20
Median
$141.25
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$36.31
Median
$57.54
Typical High
$575.44
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$138.04
Median
$213.80
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$27.54
Median
$42.66
Typical High
$436.52
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$18.20
Median
$28.84
Typical High
$288.40
CareFirst
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$151.36
Typical High
$173.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$436.52
Typical High
$2,398.83
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,754.23
Typical High
$5,623.41
United
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$2,511.89
Typical High
$27,542.29
United
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$295.12
Typical High
$3,981.07

Where Washington, DC sits

The same service costs 17.4 times more in Washington than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington, DC· 51st of 51

$195

WA $3,388DC $195

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.