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Unlisted Surgical Procedure On The Rectum

Michigan 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?

$3,981

Typical facility fee. In Michigan, October 2026.

Insurers have agreed to pay about $3,981 for this service. Most negotiated rates run $2,754 to $5,623.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,981 · 10th to 90th $1,122 to $7,413Professionalmedian $646 · 10th to 90th $646 to $1,288
$1K$2K$5K$10Kfacility $3,981professional $646

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$4,073.80
Typical High
$7,079.46
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$4,897.79
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$1,288.25
United
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$2,238.72
Typical High
$7,943.28

Where Michigan 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.

Michigan· 21st of 51

$3,981

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.