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Rectal Tumor Removal (Posterior Approach)

Pennsylvania 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?

$1,096

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $3,890 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 9 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$1,072$977 to $1,202
FacilityA hospital or hospital-owned outpatient department$3,890$2,188 to $5,754

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,047 to $8,318Professionalmedian $1,072 · 10th to 90th $891 to $1,585
$1K$2K$5K$10Kfacility $3,890professional $1,072

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
$1,096.48
Median
$3,890.45
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,047.13
Typical High
$1,479.11
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$6,606.93
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,862.09
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,148.15
Typical High
$2,041.74
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$2,187.76
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,089.30
Typical High
$2,570.40
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,071.52
Typical High
$1,737.80
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,235.94
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,071.52
Typical High
$2,089.30
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$954.99
Typical High
$2,290.87
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,023.29
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$3,311.31
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,122.02
Typical High
$1,995.26

Where Pennsylvania 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.

Pennsylvania· 42nd of 51

$1,096

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.