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Keyhole Rectum Removal With Pouch Reconstruction

Nebraska rates for HCPCS 45397

Removes the rectum through several small cuts using a camera and long instruments, working from the abdomen and from below, then brings the colon down and joins it to the anal canal after shaping part of it into a pouch that acts as a reservoir. A temporary opening on the abdomen may be created so waste bypasses the new join while it heals. It keeps the anus in place, so waste can still pass normally afterwards.

Rates data updated July 2026.

How much does Keyhole Rectum Removal With Pouch Reconstruction cost?

$6,457

Typical facility fee. In Nebraska, July 2026.

Insurers have agreed to pay about $6,457 for this service. Most negotiated rates run $4,467 to $10,000.

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 $7,244 · 10th to 90th $3,090 to $14,454Professionalmedian $4,898 · 10th to 90th $3,981 to $6,607
$2K$5K$10K$20Kfacility $7,244professional $4,898

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
$5,754.40
Median
$8,511.38
Typical High
$14,454.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$7,244.36
Typical High
$14,125.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,235.94
Typical High
$4,897.79
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,897.79
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,388.44
Typical High
$8,128.31

Where Nebraska sits

The same service costs 7.9 times more in Indiana than in Wyoming. 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.

Nebraska· 10th of 50

$6,457

IN $10,233WY $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.