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Nationwide rates for HCPCS 45172

Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness)

Facilitymedian $4,074 · 10th–90th $1,000$12,3030%10%10th90th$4,074Professionalmedian $1,148 · 10th–90th $741$2,9510%20%10th90th$1,148$0.2$5.0$100.0$2.0K$50.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $3,890.45 / $10,232.93
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $7,585.78 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,659.59 / $4,168.69
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $4,786.30 / $11,220.18