Repair of a Prolapsed Rectum From Below

Nationwide rates for HCPCS 45130

Removes the part of the rectum that has slipped down and turned out through the anus, then joins the healthy bowel ends back together. The operation is carried out from below, through the prolapsed bowel itself, so the abdomen is not opened. It is often chosen for people who would not tolerate a larger operation.

Rates data updated July 2026.

How much does Repair of a Prolapsed Rectum From Below cost?

$5,912

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $5,912 for this procedure. That total is two separate charges: $1,445 to the doctor who performs it, and $4,467 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

24% physician fee76% facility fee

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 53 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$1,445	$1,072 to $2,291
Facility feeThe hospital or surgery center	The hospital or surgery center	$4,467	$1,698 to $8,710

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,122 to $13,804Professionalmedian $1,445 · 10th to 90th $933 to $3,981

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $1,096.48 Median $4,168.69 Typical High $12,022.64	Facility	Global	$1,096.48	$4,168.69	$12,022.64
BCBS Setting Facility Modifier Global Typical Low $3,235.94 Median $8,511.38 Typical High $16,982.44	Facility	Global	$3,235.94	$8,511.38	$16,982.44
Cigna Setting Facility Modifier Global Typical Low $501.19 Median $1,778.28 Typical High $8,511.38	Facility	Global	$501.19	$1,778.28	$8,511.38
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $177.83 Median $177.83 Typical High $177.83	Facility	AS · PA/NP assist	$177.83	$177.83	$177.83
United Setting Facility Modifier Global Typical Low $575.44 Median $2,818.38 Typical High $9,549.93	Facility	Global	$575.44	$2,818.38	$9,549.93

What it costs in each state

The same service costs 6.2 times more in Nebraska than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee

NE $9,756MD $1,585

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.