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Unlisted Surgical Procedure On The Rectum

New Jersey 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?

$7,079

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $7,079 for this service. The price depends on where it is billed: about $8,128 from a physician practice, and about $7,079 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$8,128$4,169 to $10,000
FacilityA hospital or hospital-owned outpatient department$7,079$5,888 to $10,233

How much rates vary

Facilitymedian $7,079 · 10th to 90th $4,365 to $12,303Professionalmedian $8,128 · 10th to 90th $1,288 to $12,303
$100.0$500.0$2.0K$10.0Kfacility $7,079professional $8,128

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
$4,365.16
Median
$6,918.31
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$8,128.31
Typical High
$12,302.69
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$17,782.79
Typical High
$26,915.35
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$8,709.64
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$302.00

Where New Jersey 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.

New Jersey $7,079 · 10th 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.