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Rectal Tumor Removal (Posterior Approach)

California rates for HCPCS 45160

This procedure removes a tumor from the wall of the rectum through a surgical incision made near the tailbone, rather than by reaching the tumor through the anus. It is generally reserved for tumors that are difficult to access using a less invasive approach.

Rates data updated July 2026.

How much does Rectal Tumor Removal (Posterior Approach) cost?

$2,344

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $2,344 for this service. The price depends on where it is billed: about $1,122 from a physician practice, and about $5,754 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 13 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$1,122$977 to $1,660
FacilityA hospital or hospital-owned outpatient department$5,754$3,890 to $8,511

How much rates vary

Facilitymedian $5,754 · 10th to 90th $1,549 to $13,804Professionalmedian $1,122 · 10th to 90th $832 to $3,802
$100$500$2K$10Kfacility $5,754professional $1,122

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
$2,398.83
Median
$6,456.54
Typical High
$18,197.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,096.48
Typical High
$5,370.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,888.44
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,174.90
Typical High
$2,398.83
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$4,365.16
Typical High
$8,709.64
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,071.52
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,258.93
Typical High
$2,344.23
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,047.13
Typical High
$1,445.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,096.48
Typical High
$2,290.87
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$28,840.32
Typical High
$28,840.32
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$7,585.78
Median
$8,912.51
Typical High
$8,912.51
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,288.25
Typical High
$2,041.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,258.93
Typical High
$2,570.40
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,047.13
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$7,079.46
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$2,187.76

Where California 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.

California· 2nd of 51

$2,344

MN $2,399WV $1,047

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.