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Rectal Tumor Removal (Posterior Approach)

Illinois 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?

$1,259

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,202 from a physician practice, and about $1,950 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 6 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$1,202$1,023 to $1,698
FacilityA hospital or hospital-owned outpatient department$1,950$1,318 to $4,169

How much rates vary

Facilitymedian $1,950 · 10th to 90th $1,072 to $5,888Professionalmedian $1,202 · 10th to 90th $933 to $2,455
$1K$2K$5K$10Kfacility $1,950professional $1,202

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
$1,071.52
Median
$1,905.46
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,096.48
Typical High
$2,089.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$4,168.69
Typical High
$18,197.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,288.25
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,348.96
Typical High
$2,238.72
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,862.09
Typical High
$4,897.79
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,348.96
Typical High
$1,513.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,388.44
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,288.25
Typical High
$2,238.72

Where Illinois 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.

Illinois· 23rd of 51

$1,259

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.