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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 July 2026.

How much does Unlisted Surgical Procedure On The Rectum cost?

$3,467

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $3,467 for this service. The price depends on where it is billed: about $3,467 from a physician practice, and about $3,388 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 8 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$3,467$708 to $3,467
FacilityA hospital or hospital-owned outpatient department$3,388$2,692 to $4,677

How much rates vary

Facilitymedian $3,388 · 10th to 90th $1,995 to $7,586Professionalmedian $3,467 · 10th to 90th $479 to $3,467
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $3,388professional $3,467

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
$2,089.30
Median
$3,388.44
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$3,467.37
Typical High
$3,467.37
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$3,630.78
Typical High
$11,220.18
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,630.78
Typical High
$4,677.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$676.08
Typical High
$741.31
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$3,311.31
Typical High
$8,511.38
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$5,011.87
Typical High
$13,182.57
Health New England
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$3,630.78
Typical High
$11,220.18
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,630.78
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$5,370.32
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$64.57
Typical High
$302.00

Where Massachusetts 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.

Massachusetts $3,467 · 37th 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.