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Colon and Rectum Removal With Internal Pouch

Washington, DC rates for HCPCS 44156

Removes the entire large bowel together with the rectum, and builds a reservoir from the end of the small intestine that sits inside the abdomen with a small valved opening at the skin. Waste collects in the internal pouch and is emptied several times a day with a soft tube, so no external bag is worn. It is used for conditions such as ulcerative colitis or widespread polyps where the rectum also has to go.

Rates data updated July 2026.

How much does Colon and Rectum Removal With Internal Pouch cost?

$2,570

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

Insurers have agreed to pay about $2,570 for this service. Most negotiated rates run $2,239 to $2,754.

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 $2,692 · 10th to 90th $1,698 to $7,762Professionalmedian $2,570 · 10th to 90th $2,042 to $3,388
$1K$2K$5K$10Kfacility $2,692professional $2,570

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
$1,698.24
Median
$2,691.53
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,754.23
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,454.71
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,691.53
Typical High
$6,309.57
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,344.23
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$2,187.76
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,691.53
Typical High
$5,754.40

Where Washington, DC sits

The same service costs 2.3 times more in Minnesota than in Kentucky. 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· 32nd of 51

$2,570

MN $5,248KY $2,239

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.