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Unlisted Surgical Procedure On The Rectum

North Carolina 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 facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $1,288 for this service. Most negotiated rates run $1,259 to $5,248.

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 $6,761 · 10th to 90th $1,288 to $16,982Professionalmedian $1,288 · 10th to 90th $575 to $4,074
$1.0$10.0$100.0$1.0K$10.0Kfacility $6,761professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$6,918.31
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,288.25
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$7,943.28
Typical High
$19,054.61
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38

Where North Carolina 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.

North Carolina $1,288 · 47th 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.