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Rectal Tumor Removal (Posterior Approach)

West 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?

$1,047

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $1,096 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 4 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$1,047$955 to $1,202
FacilityA hospital or hospital-owned outpatient department$1,096$1,047 to $1,622

How much rates vary

Facilitymedian $1,096 · 10th to 90th $1,047 to $1,698Professionalmedian $1,047 · 10th to 90th $871 to $1,445
$1K$2K$5Kfacility $1,096professional $1,047

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
$1,047.13
Median
$1,047.13
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,047.13
Typical High
$1,318.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,348.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,698.24
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,380.38
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,454.71
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,071.52
Typical High
$1,621.81

Where West 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.

West Virginia· 51st of 51

$1,047

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.