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Rectal Tumor Removal (Posterior Approach)

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $1,349 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 7 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$1,259$1,023 to $1,995
FacilityA hospital or hospital-owned outpatient department$1,349$1,072 to $2,138

How much rates vary

Facilitymedian $1,349 · 10th to 90th $977 to $6,761Professionalmedian $1,259 · 10th to 90th $977 to $2,884
$1K$2K$5K$10Kfacility $1,349professional $1,259

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
$1,000.00
Median
$3,801.89
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,096.48
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,621.81
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,380.38
Typical High
$2,454.71
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,230.27
Typical High
$1,995.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$2,754.23
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$4,265.80
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,995.26
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$28,840.32
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$7,585.78
Median
$7,585.78
Typical High
$8,912.51

Where North Carolina 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.

North Carolina· 26th 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.