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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 July 2026.

How much does Unlisted Surgical Procedure On The Rectum cost?

$5,495

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $5,495 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $8,318 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 7 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$1,000 to $2,884
FacilityA hospital or hospital-owned outpatient department$8,318$3,311 to $12,303

How much rates vary

Facilitymedian $8,318 · 10th to 90th $1,230 to $20,893Professionalmedian $1,288 · 10th to 90th $776 to $6,310
$100.0$1.0K$10.0K$100.0K$1.0M$10.0Mfacility $8,318professional $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
$1,047.13
Median
$6,606.93
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$2,238.72
Typical High
$11,220.18
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$6,309.57
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$7,079.46
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$14,791.08
Typical High
$5,495,408.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,122.02
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$9,332.54
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25

Where Florida 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.

Florida $5,495 · 16th 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.