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Rectum Removal and Rejoining Through the Tailbone

Massachusetts 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.

Rates data updated July 2026.

How much does Rectum Removal and Rejoining Through the Tailbone cost?

$1,862

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,820 from a physician practice, and about $2,692 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 7 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$1,820$1,549 to $3,020
FacilityA hospital or hospital-owned outpatient department$2,692$1,549 to $3,631

How much rates vary

Facilitymedian $2,692 · 10th to 90th $1,000 to $5,129Professionalmedian $1,820 · 10th to 90th $1,445 to $4,074
$100.0$1.0K$10.0Kfacility $2,692professional $1,820

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
$1,513.56
Median
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,584.89
Typical High
$3,981.07
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,089.30
Typical High
$9,549.93
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,238.72
Typical High
$11,220.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$741.31
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$2,041.74
Typical High
$4,073.80
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,949.84
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,862.09
Typical High
$2,951.21
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
$1,445.44
Median
$2,511.89
Typical High
$3,715.35
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,089.30
Typical High
$9,549.93
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,238.72
Typical High
$11,220.18
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,511.89
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,570.40
Typical High
$4,365.16

Where Massachusetts sits

The same service costs 2.2 times more in Alaska than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $1,862 · 25th of 51
AK $3,467WV $1,549

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.