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Biopsy Of The Anal And Rectal Wall

Wyoming rates for HCPCS 45100

Takes a sample of the full thickness of the wall of the rectum just above the anus, working through the anal opening rather than through the abdomen. It is most often done in a baby or young child to look for the missing nerve cells that cause a form of severe constipation present from birth. The laboratory examination of the sample is charged separately.

Rates data updated October 2026.

How much does Biopsy Of The Anal And Rectal Wall cost?

$3,975

Typical total for the visit. In Wyoming, October 2026.

Insurers have agreed to pay about $3,975 for this procedure. That total is two separate charges: $955 to the doctor who performs it, and $3,020 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$955$575 to $1,230
Facility feeThe hospital or surgery center$3,020$2,089 to $3,020

How much rates vary

Facilitymedian $3,020 · 10th to 90th $1,148 to $3,548Professionalmedian $955 · 10th to 90th $363 to $1,479
$500$1K$2K$5Kfacility $3,020professional $955

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$416.87
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,230.27
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$3,388.44
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$407.38
Typical High
$707.95
United
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$1,288.25
Typical High
$5,370.32
United
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$537.03
Typical High
$977.24

Where Wyoming sits

The same service costs 5.6 times more in Colorado than in West Virginia. 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

Wyoming· 5th of 51

$3,975

$955 physician + $3,020 facility

CO $4,773WV $856

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.