go back

Keyhole Removal of Rectum and Anus

Maryland 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 October 2026.

How much does Keyhole Removal of Rectum and Anus cost?

$1,995

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $1,995 for this service. Most negotiated rates run $1,862 to $2,188.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $562 · 10th to 90th $302 to $1,380Professionalmedian $2,042 · 10th to 90th $1,585 to $2,692
$100$200$500$1K$2K$5Kfacility $562professional $2,042

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,187.76
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,584.89
CareFirst
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$2,089.30
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$602.56
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,995.26
Typical High
$3,090.30
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,995.26
Typical High
$2,884.03
United
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$537.03
Typical High
$1,230.27
United
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,862.09
Typical High
$3,630.78
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$2,454.71

Where Maryland sits

The same service costs 20.9 times more in Alaska than in Texas. 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.

Maryland· 39th of 51

$1,995

AK $6,310TX $302

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.