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Destruction Of Rectal Tumor Through The Anus

California rates for HCPCS 45190

This is a procedure to destroy a tumor in the rectum by applying heat, laser, freezing, or a similar method through the anus, without making an external incision. Rather than cutting the tumor out as an intact piece of tissue, the abnormal tissue is eliminated in place. It is generally used for select rectal growths where this approach is appropriate for the tumor's size, location, and characteristics.

Rates data updated July 2026.

How much does Destruction Of Rectal Tumor Through The Anus cost?

$6,549

Typical total for the visit. In California, July 2026.

Insurers have agreed to pay about $6,549 for this procedure. That total is two separate charges: $794 to the doctor who performs it, and $5,754 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 14 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$794$676 to $1,259
Facility feeThe hospital or surgery center$5,754$3,890 to $8,710

How much rates vary

Facilitymedian $5,754 · 10th to 90th $1,202 to $13,804Professionalmedian $794 · 10th to 90th $575 to $3,020
$100$500$2K$10Kfacility $5,754professional $794

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
$2,398.83
Median
$6,456.54
Typical High
$18,197.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$812.83
Typical High
$3,801.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,888.44
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,659.59
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$10,964.78
Typical High
$25,703.96
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,621.81
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$1,659.59
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$660.69
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$1,621.81
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$50,118.72
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,888.44
Typical High
$5,888.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$870.96
Typical High
$1,412.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$870.96
Typical High
$1,778.28
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$7,079.46
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$741.31
Typical High
$1,513.56

Where California sits

The same service costs 5.7 times more in Indiana 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.

Physician feeFacility fee

California· 5th of 50

$6,549

$794 physician + $5,754 facility

IN $8,121WV $1,416

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.