go back

Removal Of An Internal Small-Bowel Pouch

Maine rates for HCPCS 45136

Takes out an internal reservoir that was previously built from the small intestine to store stool after the colon and rectum were removed, when that pouch has failed, become chronically inflamed, or can no longer be used. The bowel is not reconnected: instead the end of the small intestine is brought out through the abdominal wall as a permanent opening, so waste empties into a pouch worn on the skin. It is a major abdominal operation with a substantial recovery.

Rates data updated July 2026.

How much does Removal Of An Internal Small-Bowel Pouch cost?

$2,239

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $2,239 for this service. Most negotiated rates run $2,042 to $3,388.

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 $10,233 · 10th to 90th $9,120 to $13,804Professionalmedian $2,239 · 10th to 90th $1,820 to $4,365
$1K$2K$5K$10Kfacility $10,233professional $2,239

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
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,089.30
Typical High
$2,187.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$10,471.29
Typical High
$14,125.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,691.53
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$2,511.89
Typical High
$4,168.69
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,691.53
Typical High
$4,677.35
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,089.30
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,570.40
Typical High
$4,677.35

Where Maine 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.

Maine· 20th of 51

$2,239

MN $4,074WV $1,778

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.