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Unlisted Surgical Procedure On The Rectum

Texas 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?

$1,288

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $5,623 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$759$79.43 to $759
FacilityA hospital or hospital-owned outpatient department$5,623$2,884 to $9,333

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,318 to $14,791Professionalmedian $759 · 10th to 90th $30 to $759
$100$1K$10K$100Kfacility $5,623professional $759

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
$1,230.27
Median
$3,801.89
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$4,168.69
Typical High
$10,964.78
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$8,511.38
Typical High
$17,378.01
Cigna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$1,258.93
Typical High
$2,691.53
Moda Health
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$3,311.31
Typical High
$8,511.38
Moda Health
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$2,884.03
Typical High
$8,511.38
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$1,995.26
Typical High
$251,188.64
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$79.43
Typical High
$79.43
United
Setting
Facility
Modifier
None
Typical Low
$2,137.96
Median
$5,248.07
Typical High
$12,302.69
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58

Where Texas 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.

Texas· 46th of 51

$1,288

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.