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Removal of Colon and Rectum With Direct Join

Massachusetts rates for HCPCS 44157

Removes the entire colon together with the rectum, then joins the end of the small intestine directly to the anus so stool can still pass the natural way. A temporary opening on the abdomen is usually created at the same time to divert stool while the new join heals.

Rates data updated July 2026.

How much does Removal of Colon and Rectum With Direct Join cost?

$5,454

Typical total for the visit. In Massachusetts, July 2026.

Insurers have agreed to pay about $5,454 for this procedure. That total is two separate charges: $2,570 to the doctor who performs it, and $2,884 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,570$2,188 to $4,365
Facility feeThe hospital or surgery center$2,884$2,089 to $3,715

How much rates vary

Facilitymedian $2,884 · 10th to 90th $1,000 to $5,623Professionalmedian $2,570 · 10th to 90th $2,042 to $5,754
$100$200$500$1K$2K$5K$10Kfacility $2,884professional $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
$2,089.30
Median
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,238.72
Typical High
$5,754.40
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,238.72
Typical High
$13,489.63
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,090.30
Typical High
$18,620.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$676.08
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$2,884.03
Typical High
$5,754.40
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,818.38
Typical High
$4,466.84
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,691.53
Typical High
$4,168.69
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$2,511.89
Typical High
$4,677.35
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,630.78
Typical High
$5,495.41
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,238.72
Typical High
$13,489.63
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,090.30
Typical High
$18,620.87
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,691.53
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,715.35
Typical High
$6,456.54

Where Massachusetts sits

The same service costs 5.7 times more in Maine 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

Massachusetts· 37th of 50

$5,454

$2,570 physician + $2,884 facility

ME $15,874MD $2,781

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.