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Unlisted Surgical Procedure On The Rectum

Idaho 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 Idaho, 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 $7,762 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$1,288$1,288 to $4,467
FacilityA hospital or hospital-owned outpatient department$7,762$5,248 to $12,023

How much rates vary

Facilitymedian $7,762 · 10th to 90th $4,365 to $18,197Professionalmedian $1,288 · 10th to 90th $1,288 to $7,762
$50.0$200.0$1.0K$5.0K$20.0Kfacility $7,762professional $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
$2,884.03
Median
$5,495.41
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$7,762.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$6,760.83
Typical High
$14,791.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$6,025.60
Typical High
$9,332.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$12,882.50
Typical High
$19,054.61
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$8,511.38
Typical High
$14,791.08
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$22,387.21
Typical High
$27,542.29

Where Idaho 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.

Idaho $5,495 · 15th 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.