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Keyhole Removal of Rectum and Anus

Nevada 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?

$4,926

Typical total for the visit. In Nevada, October 2026.

Insurers have agreed to pay about $4,926 for this procedure. That total is two separate charges: $2,042 to the doctor who performs it, and $2,884 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,042$1,660 to $2,188
Facility feeThe hospital or surgery center$2,884$1,096 to $5,012

How much rates vary

Facilitymedian $2,884 · 10th to 90th $562 to $6,918Professionalmedian $2,042 · 10th to 90th $1,445 to $2,692
$50$200$1K$5Kfacility $2,884professional $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
Facility
Modifier
None
Typical Low
$2,089.30
Median
$2,570.40
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,089.30
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Ambetter
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$4,570.88
Typical High
$6,606.93
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$2,187.76
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$6,309.57
Typical High
$17,782.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,659.59
Typical High
$2,630.27
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$1,778.28
Typical High
$2,570.40
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$2,630.27
Select Health
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$4,265.80
Select Health
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,584.89
Typical High
$3,388.44
United
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$794.33
Typical High
$2,951.21
United
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,905.46
Typical High
$2,570.40

Where Nevada sits

The same service costs 5.7 times more in Maine than in Washington. 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

Nevada· 30th of 51

$4,926

$2,042 physician + $2,884 facility

ME $14,873WA $2,596

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.