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Keyhole Removal of Rectum and Anus

North Carolina 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?

$2,570

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $2,570 for this service. Most negotiated rates run $1,905 to $3,715.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,660 to $7,413Professionalmedian $3,090 · 10th to 90th $3,090 to $3,090
$1.0$10.0$100.0$1.0K$10.0Kfacility $2,570professional $3,090

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$6,760.83
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,398.83
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$2,041.74
Typical High
$6,456.54
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$12,022.64
Typical High
$12,022.64
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26

Where North Carolina sits

The same service costs 8.1 times more in California than in Wyoming. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $2,570 · 39th of 50
CA $10,471WY $1,288

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.