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Virginia rates for HCPCS 45172

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

Facilitymedian $1,698 · 10th–90th $871–$8,9130%10%10th90th$1,698Professionalmedian $1,047 · 10th–90th $776–$1,5140%10%20%10th90th$1,047$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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 / $3,801.89 / $13,803.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $1,412.54 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $933.25 / $1,513.56
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,202.26 / $1,584.89
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $1,071.52 / $1,659.59
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $1,000.00 / $3,548.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $7,762.47 / $16,982.44