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Unlisted Surgical Procedure On The Rectum

Massachusetts 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?

$1,349

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $3,467 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,288$1,288 to $1,288
FacilityA hospital or hospital-owned outpatient department$3,467$2,344 to $5,129

How much rates vary

Facilitymedian $3,467 · 10th to 90th $955 to $8,913Professionalmedian $1,288 · 10th to 90th $1,288 to $2,512
$100$200$500$1K$2K$5K$10Kfacility $3,467professional $1,288

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
$2,187.76
Median
$3,019.95
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$707.95
Typical High
$2,238.72
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$3,467.37
Typical High
$9,772.37
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$3,467.37
Typical High
$4,677.35
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$741.31
Typical High
$1,000.00
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$3,311.31
Typical High
$7,079.46
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$3,467.37
Typical High
$10,232.93
Health New England
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$3,467.37
Typical High
$9,772.37
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$3,467.37
Typical High
$4,677.35
United
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$3,467.37
Typical High
$13,803.84
Well Sense
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$3,467.37
Typical High
$5,623.41
Well Sense
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,388.44

Where Massachusetts 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.

Massachusetts· 44th of 51

$1,349

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.