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Rectum And Colon Removal For Congenital Megacolon

Idaho rates for HCPCS 45121

Surgery for a bowel that was born without the nerve cells needed to push stool along, so waste backs up and the bowel above swells. The rectum is removed through both an abdominal incision and the area around the anus, most or all of the colon is taken out with it, and healthy bowel is brought down and joined to the anus. Several tissue samples are taken along the way to show where the nerve cells stop.

Rates data updated July 2026.

How much does Rectum And Colon Removal For Congenital Megacolon cost?

$2,344

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $2,344 for this service. The price depends on where it is billed: about $2,344 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 8 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$2,344$1,820 to $3,236
FacilityA hospital or hospital-owned outpatient department$2,692$2,138 to $4,365

How much rates vary

Facilitymedian $2,692 · 10th to 90th $1,738 to $6,166Professionalmedian $2,344 · 10th to 90th $1,698 to $3,715
$2K$5K$10Kfacility $2,692professional $2,344

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
$4,466.84
Median
$4,466.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,949.84
Typical High
$5,011.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$6,606.93
Typical High
$7,943.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,235.94
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,570.40
Typical High
$3,235.94
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,511.89
Typical High
$4,365.16
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$3,019.95
Typical High
$3,548.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,479.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,388.44
Typical High
$3,981.07
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$3,801.89
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,479.11
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$15,488.17
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,398.83
Typical High
$3,548.13

Where Idaho 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.

Idaho· 14th of 51

$2,344

MN $3,890KY $1,738

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.