go back

Unlisted Surgical Procedure On The Rectum

New York 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?

$5,623

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $5,623 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $5,754 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 9 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$302 to $5,754
FacilityA hospital or hospital-owned outpatient department$5,754$3,631 to $7,943

How much rates vary

Facilitymedian $5,754 · 10th to 90th $2,570 to $12,589Professionalmedian $1,288 · 10th to 90th $65 to $10,965
$100.0$1.0K$10.0Kfacility $5,754professional $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
$2,570.40
Median
$5,754.40
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$5,754.40
Typical High
$14,125.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,778.28
Typical High
$12,302.69
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$426.58
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$5,495.41
Typical High
$13,489.63
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$302.00
Univera
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$426.58

Where New York 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 York $5,623 · 14th 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.