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Unlisted Surgical Procedure On The Rectum

Ohio 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?

$6,918

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $6,918 for this service. The price depends on where it is billed: about $4,169 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 8 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$4,169$447 to $7,586
FacilityA hospital or hospital-owned outpatient department$7,079$4,169 to $9,550

How much rates vary

Facilitymedian $7,079 · 10th to 90th $2,344 to $12,589Professionalmedian $4,169 · 10th to 90th $0 to $12,589
$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $7,079professional $4,169

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
$3,235.94
Median
$7,413.10
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$6,918.31
Typical High
$12,589.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$7,244.36
Typical High
$17,782.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$60,255.96
Median
$72,443.60
Typical High
$79,432.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$75,857.76
Median
$75,857.76
Typical High
$79,432.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$21,379.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$33.11
Typical High
$60.26
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$9,332.54
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$5,888.44
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$302.00

Where Ohio 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.

Ohio $6,918 · 11th 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.