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Colon Removal With Rectal Join and Colostomy

Nationwide rates for HCPCS 44146

Removes a portion of the colon and joins the remaining bowel to the rectum low in the pelvis, then brings bowel out to the skin as a colostomy so stool is diverted while that join heals. Diversion protects a connection made deep in the pelvis, where healing is slower and leaks are more serious. The colostomy can usually be closed later.

Rates data updated July 2026.

How much does Colon Removal With Rectal Join and Colostomy cost?

$7,766

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $7,766 for this procedure. That total is two separate charges: $2,754 to the doctor who performs it, and $5,012 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 52 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,754$2,089 to $4,365
Facility feeThe hospital or surgery center$5,012$2,630 to $10,000

How much rates vary

Facilitymedian $5,012 · 10th to 90th $1,905 to $14,454Professionalmedian $2,754 · 10th to 90th $1,778 to $7,943
$200$500$1K$2K$5K$10K$20Kfacility $5,012professional $2,754

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
$1,737.80
Median
$4,466.84
Typical High
$12,022.64
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$9,332.54
Typical High
$17,782.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$3,388.44
Typical High
$10,715.19
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,818.38
Typical High
$9,549.93

What it costs in each state

The same service costs 4.8 times more in Nebraska than in Maryland. 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.

Physician feeFacility fee

Touch or drag across the chart to see any state's rate.

NE $12,730MD $2,675

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.