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Unlisted Surgical Procedure On The Rectum

Pennsylvania 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 October 2026.

How much does Unlisted Surgical Procedure On The Rectum cost?

$8,318

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $8,318 for this service. The price depends on where it is billed: about $58,884 from a physician practice, and about $2,344 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$58,884$58,884 to $58,884
FacilityA hospital or hospital-owned outpatient department$2,344$1,023 to $4,467

How much rates vary

Facilitymedian $2,344 · 10th to 90th $575 to $8,318Professionalmedian $58,884 · 10th to 90th $6,166 to $58,884
$100$1K$10Kfacility $2,344professional $58,884

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$4,073.80
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$891.25
Typical High
$6,165.95
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$12,022.64
Typical High
$56,234.13
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$58,884.37
Median
$58,884.37
Typical High
$58,884.37
Cigna
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$645.65
Typical High
$2,290.87
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$56,234.13
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$3,801.89
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$812.83
Typical High
$7,244.36
United
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$2,398.83
Typical High
$6,918.31

Where Pennsylvania sits

The same service costs 223.9 times more in Wisconsin than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 3rd of 51

$8,318

WI $10,000KY $44.67

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.