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Colon Removal With Rectal Join and Colostomy

Virginia 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?

$3,236

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $3,236 for this service. Most negotiated rates run $2,344 to $7,079.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,995 to $12,023Professionalmedian $2,399 · 10th to 90th $1,905 to $3,631
$1K$2K$5K$10Kfacility $3,236professional $2,399

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
$2,398.83
Median
$5,011.87
Typical High
$14,125.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$11,220.18
Typical High
$15,848.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$3,388.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,238.72
Typical High
$3,630.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,398.83
Typical High
$4,073.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,691.53
Typical High
$4,168.69
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,398.83
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$2,884.03
Typical High
$6,309.57

Where Virginia sits

The same service costs 10.2 times more in Maine than in Wyoming. 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.

Virginia· 28th of 50

$3,236

ME $13,183WY $1,288

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.