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Rectum And Colon Removal For Congenital Megacolon

Michigan 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?

$1,950

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $1,950 for this service. The price depends on where it is billed: about $1,950 from a physician practice, and about $4,898 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 6 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$1,950$1,698 to $2,344
FacilityA hospital or hospital-owned outpatient department$4,898$2,455 to $4,898

How much rates vary

Facilitymedian $4,898 · 10th to 90th $2,239 to $6,918Professionalmedian $1,950 · 10th to 90th $1,585 to $2,570
$500$1K$2K$5K$10Kfacility $4,898professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,819.70
Typical High
$2,344.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,584.89
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,511.89
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,089.30
Typical High
$4,073.80
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$4,897.79
Typical High
$5,370.32
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,949.84
Typical High
$2,570.40
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,137.96
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$3,311.31
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,137.96
Typical High
$3,019.95

Where Michigan 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.

Michigan· 30th of 51

$1,950

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.