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Unlisted Surgical Procedure On The Rectum

New Mexico 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?

$11,220

Typical facility fee. In New Mexico, July 2026.

Insurers have agreed to pay about $11,220 for this service. Most negotiated rates run $2,089 to $16,596.

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 $12,303 · 10th to 90th $2,089 to $22,387Professionalmedian $1,288 · 10th to 90th $45 to $1,288
$100.0$1.0K$10.0K$100.0Kfacility $12,303professional $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
$1,000.00
Median
$2,089.30
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$14,125.38
Typical High
$22,908.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$60.26
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$11,748.98
Typical High
$19,054.61

Where New Mexico 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 Mexico $11,220 · 4th 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.