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Rectal Tumor Removal (Posterior Approach)

New Jersey 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?

$1,202

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,122 from a physician practice, and about $6,026 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 5 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 $1,549
FacilityA hospital or hospital-owned outpatient department$6,026$4,571 to $7,943

How much rates vary

Facilitymedian $6,026 · 10th to 90th $3,090 to $10,715Professionalmedian $1,122 · 10th to 90th $851 to $2,818
$1K$2K$5K$10Kfacility $6,026professional $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
$3,090.30
Median
$6,025.60
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,096.48
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,202.26
Typical High
$2,454.71
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,445.44
Typical High
$2,187.76
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$8,912.51
Typical High
$14,454.40
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,174.90
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$5,754.40
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,148.15
Typical High
$2,238.72

Where New Jersey 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.

New Jersey· 30th of 51

$1,202

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.