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Transanal Endoscopic Removal Of Rectal Tumor

New York rates for HCPCS 0184T

A surgeon removes a growth from the rectum by working through a special magnifying scope inserted through the anus, avoiding the need for an abdominal incision. This full-thickness technique removes the growth along with the deeper layer of the rectal wall beneath it, which can offer a more thorough removal than a simple surface excision. It is generally reserved for larger or higher-lying rectal growths that would otherwise require more extensive surgery.

Rates data updated July 2026.

How much does Transanal Endoscopic Removal Of Rectal Tumor cost?

$813

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $6,026 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$741$631 to $851
FacilityA hospital or hospital-owned outpatient department$6,026$3,890 to $9,120

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,820 to $12,023Professionalmedian $741 · 10th to 90th $550 to $1,349
$200$500$1K$2K$5K$10Kfacility $6,026professional $741

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$5,370.32
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$776.25
Typical High
$1,348.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$7,762.47
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$691.83
Typical High
$954.99
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$6,165.95
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$4,265.80
Typical High
$4,265.80
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,202.26
Typical High
$3,090.30
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$1,096.48
Typical High
$1,778.28
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,318.26
Typical High
$2,187.76
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,897.79
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$851.14
Typical High
$1,949.84
Univera
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$870.96
Typical High
$1,148.15
Univera
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,202.26
Typical High
$2,238.72

Where New York sits

The same service costs 4.2 times more in California than in North Dakota. 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.

New York· 42nd of 51

$813

CA $2,692ND $646

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.