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Rectal Tumor Removal (Posterior Approach)

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $1,622 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$1,148$1,023 to $1,445
FacilityA hospital or hospital-owned outpatient department$1,622$1,148 to $3,890

How much rates vary

Facilitymedian $1,622 · 10th to 90th $1,023 to $7,079Professionalmedian $1,148 · 10th to 90th $933 to $2,042
$1K$2K$5K$10Kfacility $1,622professional $1,148

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
$1,148.15
Median
$3,630.78
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,148.15
Typical High
$1,778.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,288.25
Typical High
$2,041.74
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,071.52
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,288.25
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,174.90
Typical High
$1,949.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,122.02
Typical High
$1,862.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,318.26
Typical High
$2,089.30
Medcost
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$2,041.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,905.46
Sentara
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,202.26
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,202.26
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$5,495.41
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$1,995.26

Where Virginia 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.

Virginia· 31st 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.