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Keyhole Surgery to Anchor a Prolapsed Rectum

Maryland 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?

$1,202

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $1,202 for this service. Most negotiated rates run $1,096 to $1,318.

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.

How much rates vary

Facilitymedian $1,698 · 10th to 90th $525 to $3,890Professionalmedian $1,175 · 10th to 90th $912 to $1,585
$500$1K$2K$5Kfacility $1,698professional $1,175

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
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,258.93
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$891.25
Median
$891.25
Typical High
$912.01
CareFirst
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,230.27
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$602.56
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,148.15
Typical High
$1,778.28
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,148.15
Typical High
$1,659.59
United
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,995.26
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,071.52
Typical High
$2,089.30
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$1,412.54

Where Maryland sits

The same service costs 5.4 times more in Alaska than in Texas. 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.

Maryland· 36th of 51

$1,202

AK $3,981TX $741

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.