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Unlisted Colon Procedure

Virginia 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?

$2,570

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $2,570 for this service. The price depends on where it is billed: about $2,884 from a physician practice, and about $2,455 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,884$1,047 to $4,365
FacilityA hospital or hospital-owned outpatient department$2,455$1,349 to $5,012

How much rates vary

Facilitymedian $2,455 · 10th to 90th $676 to $8,318Professionalmedian $2,884 · 10th to 90th $240 to $10,233
$200$500$1K$2K$5K$10Kfacility $2,455professional $2,884

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
$2,041.74
Median
$4,786.30
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$2,818.38
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$7,079.46
Median
$8,128.31
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$239.88
Typical High
$239.88
CareFirst
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$2,691.53
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$870.96
Typical High
$5,495.41
Medcost
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$239.88
Sentara
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,862.09
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$3,630.78
Typical High
$10,232.93
United
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$2,187.76
Typical High
$5,888.44

Where Virginia 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.

Virginia· 6th of 51

$2,570

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.