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Unlisted Colon Procedure

North Carolina 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 July 2026.

How much does Unlisted Colon Procedure cost?

$1,047

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $1,000 from a physician practice, and about $1,738 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,000$832 to $2,239
FacilityA hospital or hospital-owned outpatient department$1,738$575 to $5,129

How much rates vary

Facilitymedian $1,738 · 10th to 90th $537 to $8,710Professionalmedian $1,000 · 10th to 90th $708 to $3,020
$100$500$2K$10Kfacility $1,738professional $1,000

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$2,630.27
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,000.00
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Medcost
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$2,041.74
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23

Where North Carolina sits

The same service costs 28.8 times more in Wisconsin than in Maine. 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.

North Carolina· 46th of 51

$1,047

WI $6,918ME $240

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.