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Rectum Removal and Rejoining Through the Tailbone

Illinois rates for HCPCS 45116

Removes a diseased segment of the rectum and stitches the two remaining ends back together, reaching the area through an incision over the tailbone rather than through the abdomen. Working from behind avoids opening the belly. It is used for growths or damage in a part of the rectum that can be reached this way.

Facilitymedian $3,090 · 10th–90th $1,148$9,7720%10%10th90th$3,090Professionalmedian $1,778 · 10th–90th $1,413$3,4670%10%20%10th90th$1,778$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$3,090.30
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,698.24
Typical High
$3,090.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$17,378.01
Typical High
$33,113.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,089.30
Typical High
$3,467.37
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,691.53
Typical High
$7,585.78
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,949.84
Typical High
$2,137.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,818.38
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,949.84
Typical High
$3,235.94