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Keyhole Removal of Rectum and Anus

Nationwide rates for HCPCS 45395

Removes the entire rectum together with the anus, using a camera and instruments passed through small abdominal incisions along with an incision around the anal opening. Because the anal opening is taken away, the end of the colon is brought out onto the abdominal wall as a permanent colostomy. It is used mainly for cancer sitting very low in the rectum.

Rates data updated July 2026.

How much does Keyhole Removal of Rectum and Anus cost?

$7,528

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $7,528 for this procedure. That total is two separate charges: $2,630 to the doctor who performs it, and $4,898 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 52 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,630$1,950 to $4,266
Facility feeThe hospital or surgery center$4,898$2,630 to $9,550

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,778 to $15,136Professionalmedian $2,630 · 10th to 90th $1,698 to $7,413
$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $4,898professional $2,630

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
$1,513.56
Median
$4,570.88
Typical High
$11,748.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$9,772.37
Typical High
$19,054.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$3,162.28
Typical High
$15,488.17
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,884.03
Typical High
$9,549.93

What it costs in each state

The same service costs 5.1 times more in California than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee
CA $12,960MD $2,526

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.