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Rectal Pull-Through Removal Surgery

Montana 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?

$2,344

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $2,344 for this service. The price depends on where it is billed: about $2,089 from a physician practice, and about $2,754 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 5 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$2,089$1,549 to $2,754
FacilityA hospital or hospital-owned outpatient department$2,754$2,239 to $2,818

How much rates vary

Facilitymedian $2,754 · 10th to 90th $1,820 to $3,311Professionalmedian $2,089 · 10th to 90th $1,479 to $3,981
$100$200$500$1K$2K$5Kfacility $2,754professional $2,089

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
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,548.82
Typical High
$8,317.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,187.76
Typical High
$4,786.30
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,754.23
Typical High
$3,019.95
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,754.23
Typical High
$3,019.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,238.72
Typical High
$3,890.45
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$2,511.89
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,511.89
Typical High
$3,388.44

Where Montana 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.

Montana· 10th of 51

$2,344

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.