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Unlisted Surgical Procedure On The Rectum

Nationwide rates for HCPCS 45499

Covers an operation on the rectum — the last section of the large bowel, just above the anus — that has no standard named entry of its own. It is used when the surgery performed does not match any established named rectal procedure, and the surgeon supplies a written description of what was done.

Rates data updated July 2026.

How much does Unlisted Surgical Procedure On The Rectum cost?

$4,786

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $4,786 for this service. The price depends on where it is billed: about $1,778 from a physician practice, and about $5,495 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 46 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,778$977 to $4,571
FacilityA hospital or hospital-owned outpatient department$5,495$3,090 to $9,120

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,622 to $14,125Professionalmedian $1,778 · 10th to 90th $79 to $10,000
$0.1$10.0$1.0K$100.0K$10.0Mfacility $5,495professional $1,778

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$5,011.87
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$2,344.23
Typical High
$9,120.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$5,248.07
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$676.08
Typical High
$13,182.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,348.96
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$6,606.93
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$302.00

What it costs in each state

The same service costs 19.5 times more in Wisconsin than in Maine. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

WI $13,490ME $692

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.