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Keyhole Surgery to Anchor a Prolapsed Rectum

Alabama rates for HCPCS 45400

Through several small abdominal incisions and a camera, the surgeon lifts the rectum back into its normal position and secures it to the tissue at the back of the pelvis so it stops sliding down. This treats rectal prolapse, in which the last part of the bowel turns inside out and protrudes through the anus. Working through small openings usually means less pain and a quicker recovery than a large open incision.

Rates data updated October 2026.

How much does Keyhole Surgery to Anchor a Prolapsed Rectum cost?

$4,495

Typical total for the visit. In Alabama, October 2026.

Insurers have agreed to pay about $4,495 for this procedure. That total is two separate charges: $1,259 to the doctor who performs it, and $3,236 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,259$1,122 to $2,291
Facility feeThe hospital or surgery center$3,236$1,549 to $3,311

How much rates vary

Facilitymedian $3,236 · 10th to 90th $912 to $3,715Professionalmedian $1,259 · 10th to 90th $977 to $2,291
$500$1K$2K$5Kfacility $3,236professional $1,259

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
$776.25
Median
$1,258.93
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$2,290.87
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
BCBS Alabama
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$3,311.31
Typical High
$3,311.31
BCBS Alabama
Setting
Professional
Modifier
21 + 22 · Increased work + 24 · Unrelated visit after surgery
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$549.54
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,258.93
Typical High
$1,548.82
United
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$2,344.23
Typical High
$5,128.61
United
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,122.02
Typical High
$2,089.30

Where Alabama sits

The same service costs 5.3 times more in Maine than in Delaware. 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.

Physician feeFacility fee

Alabama· 26th of 51

$4,495

$1,259 physician + $3,236 facility

ME $13,782DE $2,610

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.