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Keyhole Removal of Rectum and Anus

Pennsylvania 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?

$2,887

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

Insurers have agreed to pay about $2,887 for this procedure. That total is two separate charges: $1,995 to the doctor who performs it, and $891 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 10 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,995$1,950 to $3,162
Facility feeThe hospital or surgery center$891$513 to $3,715

How much rates vary

Facilitymedian $891 · 10th to 90th $316 to $6,166Professionalmedian $1,995 · 10th to 90th $1,778 to $3,802
$100$500$2K$10Kfacility $891professional $1,995

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
$831.76
Median
$4,073.80
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,995.26
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,258.93
Median
$1,412.54
Typical High
$1,445.44
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$28,183.83
Typical High
$56,234.13
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$3,090.30
Typical High
$3,981.07
Capital Blue Cross
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,584.89
Median
$2,511.89
Typical High
$3,162.28
Cigna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$676.08
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$1,862.09
Typical High
$3,890.45
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,818.38
Typical High
$3,981.07
Geisinger
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,995.26
Typical High
$3,467.37
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$3,801.89
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,995.26
Typical High
$2,041.74
Martin's Point
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,258.93
Median
$1,412.54
Typical High
$1,445.44
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,187.76
Typical High
$3,801.89
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$1,862.09
Typical High
$1,905.46
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$1,862.09
Typical High
$1,905.46
United
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$562.34
Typical High
$4,265.80
United
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,995.26
Typical High
$3,162.28

Where Pennsylvania 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

Pennsylvania· 48th of 51

$2,887

$1,995 physician + $891 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.