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Removal Of Prolapsed Rectum, Combined Approach

Hawaii rates for HCPCS 45135

Surgery for a rectum that has turned inside out and slipped down through the anus. The affected segment of bowel is removed and the healthy ends are joined back together, working through both the abdomen and the area around the anus. It restores the bowel to its normal position and prevents the prolapse from returning.

Rates data updated July 2026.

How much does Removal Of Prolapsed Rectum, Combined Approach cost?

$1,349

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $1,349 for this service. Most negotiated rates run $1,288 to $1,738.

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.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $2,512 to $2,818Professionalmedian $1,349 · 10th to 90th $1,148 to $2,042
$200$500$1K$2Kfacility $2,818professional $1,349

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,348.96
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,659.59
Typical High
$3,467.37
HMSA
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,949.84
Typical High
$2,290.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,445.44
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,513.56
Typical High
$2,089.30
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$1,174.90
Typical High
$1,905.46

Where Hawaii sits

The same service costs 2.3 times more in Minnesota than in West Virginia. 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.

Hawaii· 46th of 51

$1,349

MN $2,951WV $1,288

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.