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Unlisted Surgical Procedure On The Rectum

California 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?

$5,012

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $5,012 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $7,079 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 8 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$1,288$112 to $3,548
FacilityA hospital or hospital-owned outpatient department$7,079$3,981 to $12,303

How much rates vary

Facilitymedian $7,079 · 10th to 90th $2,399 to $18,197Professionalmedian $1,288 · 10th to 90th $58 to $8,511
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $7,079professional $1,288

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
$3,388.44
Median
$8,511.38
Typical High
$19,952.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,691.53
Typical High
$11,481.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,090.30
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$190.55
Typical High
$190.55
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$4,897.79
Typical High
$10,715.19
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$60.26
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,023.29
Typical High
$13,489.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$398.11
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$891.25
Typical High
$14,791.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$11,748.98
Typical High
$25,118.86
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$64.57
Typical High
$64.57

Where California sits

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.

California $5,012 · 20th of 50
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.