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Unlisted Surgical Procedure On The Rectum

Florida 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 October 2026.

How much does Unlisted Surgical Procedure On The Rectum cost?

$1,230

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $933 from a physician practice, and about $5,754 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$933$933 to $1,230
FacilityA hospital or hospital-owned outpatient department$5,754$1,950 to $11,749

How much rates vary

Facilitymedian $5,754 · 10th to 90th $501 to $19,953Professionalmedian $933 · 10th to 90th $933 to $1,549
$500$1K$2K$5K$10K$20Kfacility $5,754professional $933

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
$6,309.57
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$2,691.53
Typical High
$11,481.54
AvMed
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$4,466.84
Typical High
$12,882.50
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$524.81
Typical High
$5,128.61
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$14,125.38
Typical High
$22,908.68
Molina
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,122.02
Typical High
$1,548.82
United
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$3,311.31
Typical High
$12,589.25
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$933.25

Where Florida sits

The same service costs 223.9 times more in Wisconsin than in Kentucky. 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.

Florida· 47th of 51

$1,230

WI $10,000KY $44.67

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.