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Keyhole Surgery to Anchor a Prolapsed Rectum

North Carolina 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 July 2026.

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

$1,660

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $1,660 for this service. Most negotiated rates run $1,202 to $5,888.

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 $1,660 · 10th to 90th $1,072 to $11,482Professionalmedian $1,820 · 10th to 90th $1,820 to $1,820
$1$10$100$1K$10Kfacility $1,660professional $1,820

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
$1,122.02
Median
$5,888.44
Typical High
$21,877.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,380.38
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$5,623.41
Typical High
$14,454.40
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$7,079.46
Typical High
$7,079.46
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$707.95
Median
$707.95
Typical High
$707.95

Where North Carolina sits

The same service costs 9.1 times more in Indiana than in North Dakota. 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· 43rd of 50

$1,660

IN $10,233ND $1,122

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.