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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 July 2026.

How much does Unlisted Surgical Procedure On The Rectum cost?

$3,981

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $3,981 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $4,786 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 6 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$1,660$1,148 to $7,244
FacilityA hospital or hospital-owned outpatient department$4,786$3,090 to $6,761

How much rates vary

Facilitymedian $4,786 · 10th to 90th $1,413 to $8,318Professionalmedian $1,660 · 10th to 90th $759 to $64,565
$100.0$1.0K$10.0Kfacility $4,786professional $1,660

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
$1,412.54
Median
$4,786.30
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,288.25
Typical High
$3,548.13
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$64,565.42
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$794.33
Typical High
$36,307.81
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$4,073.80
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,148.15
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$4,786.30
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Pennsylvania 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.

Pennsylvania $3,981 · 34th 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.