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Rectal Tumor Removal (Posterior Approach)

Ohio 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?

$1,148

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $3,388 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 8 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$1,096$955 to $1,318
FacilityA hospital or hospital-owned outpatient department$3,388$2,089 to $5,248

How much rates vary

Facilitymedian $3,388 · 10th to 90th $1,148 to $10,715Professionalmedian $1,096 · 10th to 90th $871 to $1,862
$50$200$1K$5Kfacility $3,388professional $1,096

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
$1,412.54
Median
$3,715.35
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,096.48
Typical High
$2,511.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,019.95
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,659.59
CareSource
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,071.52
Typical High
$1,737.80
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,698.24
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,288.25
Typical High
$2,187.76
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,698.24
Typical High
$2,290.87
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,318.26
Typical High
$2,137.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,174.90
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,388.44
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$1,949.84

Where Ohio 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.

Ohio· 37th of 51

$1,148

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.