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Unlisted Surgical Procedure On The Rectum

Rhode Island 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?

$4,074

Typical facility fee. In Rhode Island, October 2026.

Insurers have agreed to pay about $4,074 for this service. Most negotiated rates run $1,288 to $10,233.

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 $5,754 · 10th to 90th $933 to $12,589Professionalmedian $955 · 10th to 90th $251 to $1,230
$100$200$500$1K$2K$5K$10Kfacility $5,754professional $955

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$2,398.83
Median
$3,235.94
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$954.99
Typical High
$1,230.27
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$5,754.40
Median
$10,471.29
Typical High
$12,589.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$676.08
Typical High
$1,202.26
United
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$3,548.13
Typical High
$12,589.25
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS Rhode Island
Setting
Professional
Modifier
ET · Emergency service
Typical Low
$42,657.95
Median
$42,657.95
Typical High
$42,657.95

Where Rhode Island 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.

Rhode Island· 20th of 51

$4,074

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.