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Rectal Pull-Through Removal Surgery

Maine rates for HCPCS 45120

This operation removes the rectum, and often part of the lower colon, then reconnects the remaining bowel down near the anus so a person can continue to pass stool normally without a permanent ostomy bag. It is used to treat congenital megacolon (Hirschsprung's disease), a condition present from birth in which part of the colon lacks the nerve cells needed to function normally, requiring the affected segment to be removed. This surgery is typically performed in infants or young children.

Rates data updated July 2026.

How much does Rectal Pull-Through Removal Surgery cost?

$1,950

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $1,950 for this service. Most negotiated rates run $1,778 to $3,090.

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.

How much rates vary

Facilitymedian $10,233 · 10th to 90th $9,120 to $13,804Professionalmedian $1,950 · 10th to 90th $1,622 to $3,981
$1K$2K$5K$10Kfacility $10,233professional $1,950

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,737.80
Typical High
$1,905.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$10,471.29
Typical High
$14,125.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,454.71
Typical High
$3,890.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$2,238.72
Typical High
$3,715.35
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,454.71
Typical High
$4,265.80
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,862.09
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,290.87
Typical High
$4,265.80

Where Maine sits

The same service costs 2.2 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.

Maine· 22nd of 51

$1,950

MN $3,631KY $1,622

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.