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Unlisted Surgical Procedure On The Rectum

Kentucky 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?

$44.67

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $1,905 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$44.67$44.67 to $44.67
FacilityA hospital or hospital-owned outpatient department$1,905$832 to $4,677

How much rates vary

Facilitymedian $1,905 · 10th to 90th $513 to $9,550Professionalmedian $45 · 10th to 90th $45 to $63,096
$100$1K$10K$100Kfacility $1,905professional $45

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
$616.60
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$676.08
Typical High
$2,818.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$5,128.61
Typical High
$11,220.18
CareSource
Setting
Facility
Modifier
None
Typical Low
$81,283.05
Median
$81,283.05
Typical High
$81,283.05
CareSource
Setting
Professional
Modifier
None
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$467.74
Typical High
$794.33
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$2,089.30
Typical High
$6,760.83

Where Kentucky 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.

Kentucky· 51st of 51

$44.67

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.