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Unlisted Surgical Procedure On The Rectum

Montana 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?

$1,288

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $16,596 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 4 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 $1,288
FacilityA hospital or hospital-owned outpatient department$16,596$15,849 to $17,783

How much rates vary

Facilitymedian $16,596 · 10th to 90th $12,303 to $17,783Professionalmedian $1,288 · 10th to 90th $79 to $15,849
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $16,596professional $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. 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
Global
Typical Low
$17,782.79
Median
$17,782.79
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$15,848.93
Typical High
$16,595.87
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$15,848.93
Typical High
$16,595.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$12,302.69

Where Montana 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.

Montana $1,288 · 48th 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.