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Colon and Rectum Removal With Internal Pouch

Nebraska 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?

$2,951

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $2,951 for this service. The price depends on where it is billed: about $2,754 from a physician practice, and about $7,943 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 6 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$2,754$2,291 to $4,169
FacilityA hospital or hospital-owned outpatient department$7,943$3,715 to $12,882

How much rates vary

Facilitymedian $7,943 · 10th to 90th $2,455 to $14,454Professionalmedian $2,754 · 10th to 90th $2,042 to $6,607
$2K$5K$10K$20Kfacility $7,943professional $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
$6,025.60
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,454.71
Typical High
$6,606.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$12,589.25
Typical High
$24,547.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,311.31
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$4,265.80
Typical High
$6,760.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,235.94
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$4,265.80
Typical High
$17,378.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$5,128.61
Typical High
$7,244.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,365.16
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,548.13
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,548.13
Typical High
$5,623.41

Where Nebraska 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.

Nebraska· 17th of 51

$2,951

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.