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Unlisted Surgical Procedure On The Rectum

Georgia 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?

$5,248

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $5,248 for this service. The price depends on where it is billed: about $1,995 from a physician practice, and about $5,370 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 6 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$1,995$1,230 to $5,370
FacilityA hospital or hospital-owned outpatient department$5,370$2,042 to $7,413

How much rates vary

Facilitymedian $5,370 · 10th to 90th $794 to $11,749Professionalmedian $1,995 · 10th to 90th $603 to $10,471
$500$1K$2K$5K$10K$20Kfacility $5,370professional $1,995

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
$3,162.28
Median
$6,165.95
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,995.26
Typical High
$10,471.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$3,388.44
Typical High
$8,128.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$275.42
Typical High
$275.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$69,183.10
Median
$69,183.10
Typical High
$69,183.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$588.84
Typical High
$1,230.27
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$13,803.84
Median
$13,803.84
Typical High
$13,803.84
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$5,370.32
Typical High
$10,471.29

Where Georgia sits

The same service costs 19.5 times more in Wisconsin than in Maine. 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.

Georgia· 18th of 50

$5,248

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.