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Unlisted Colon Procedure

Kentucky rates for HCPCS 45399

An operation on the colon, the large bowel, that has no standard named entry of its own. It is used when the work performed does not match any established description, so the surgeon submits a written report of exactly what was done.

Rates data updated October 2026.

How much does Unlisted Colon Procedure cost?

$240

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $1,000 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$191$44.67 to $240
FacilityA hospital or hospital-owned outpatient department$1,000$589 to $2,089

How much rates vary

Facilitymedian $1,000 · 10th to 90th $437 to $5,129Professionalmedian $191 · 10th to 90th $45 to $240
$100$1K$10K$100Kfacility $1,000professional $191

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
$398.11
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$676.08
Typical High
$2,818.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$1,905.46
Typical High
$10,715.19
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$239.88
Typical High
$239.88
CareSource
Setting
Facility
Modifier
None
Typical Low
$81,283.05
Median
$81,283.05
Typical High
$81,283.05
CareSource
Setting
Professional
Modifier
None
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$467.74
Typical High
$2,290.87
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$794.33
Typical High
$2,454.71

Where Kentucky sits

The same service costs 55.0 times more in Wisconsin than in Montana. 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.

Kentucky· 48th of 51

$240

WI $4,365MT $79.43

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.