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Partial Removal of the Rectum Through the Perineum

Virginia rates for HCPCS 45123

Removes part of the rectum through an incision in the area between the buttocks, below the abdomen, without joining the remaining ends back together. It is chosen when the diseased segment sits low enough to be reached from below. The abdomen is not opened.

Rates data updated July 2026.

How much does Partial Removal of the Rectum Through the Perineum cost?

$1,950

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $1,950 for this service. Most negotiated rates run $1,288 to $7,586.

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.

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,122 to $11,220Professionalmedian $1,318 · 10th to 90th $1,023 to $1,950
$1K$2K$5K$10K$20Kfacility $1,995professional $1,318

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
$1,258.93
Median
$4,786.30
Typical High
$14,791.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$8,709.64
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$1,819.70
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,202.26
Typical High
$1,949.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,380.38
Typical High
$2,290.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,445.44
Typical High
$2,187.76
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,318.26
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$11,481.54
Typical High
$26,302.68

Where Virginia sits

The same service costs 9.8 times more in Indiana than in North Dakota. 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.

Virginia· 33rd of 50

$1,950

IN $10,715ND $1,096

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.