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Unlisted Surgical Procedure On The Rectum

South Carolina 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?

$13,183

Typical facility fee. In South Carolina, July 2026.

Insurers have agreed to pay about $13,183 for this service. Most negotiated rates run $7,244 to $20,893.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $14,791 · 10th to 90th $6,026 to $25,704Professionalmedian $575 · 10th to 90th $30 to $589
$100.0$1.0K$10.0Kfacility $14,791professional $575

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
$9,120.11
Median
$20,417.38
Typical High
$37,153.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,232.93
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$16,218.10
Typical High
$25,703.96

Where South Carolina 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.

South Carolina $13,183 · 2nd 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.