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Unlisted Colon Procedure

West 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 July 2026.

How much does Unlisted Colon Procedure cost?

$1,413

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $1,413 for this service. Most negotiated rates run $1,230 to $1,413.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $1,413 · 10th to 90th $603 to $2,570Professionalmedian $72,444 · 10th to 90th $72,444 to $72,444
$100.0$1.0K$10.0K$100.0Kfacility $1,413professional $72,444

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
$1,230.27
Median
$1,230.27
Typical High
$1,412.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$81,283.05
Median
$81,283.05
Typical High
$81,283.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$72,443.60
Median
$72,443.60
Typical High
$72,443.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,621.81
Typical High
$2,570.40

Where West Virginia sits

The same service costs 28.8 times more in Wisconsin than in Maine. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $1,413 · 42nd of 51
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.