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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 July 2026.

How much does Unlisted Surgical Procedure On The Rectum cost?

$4,266

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $4,266 for this service. The price depends on where it is billed: about $2,344 from a physician practice, and about $4,571 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 8 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$2,344$1,096 to $4,677
FacilityA hospital or hospital-owned outpatient department$4,571$2,818 to $7,586

How much rates vary

Facilitymedian $4,571 · 10th to 90th $1,445 to $12,023Professionalmedian $2,344 · 10th to 90th $170 to $7,079
$100.0$1.0K$10.0Kfacility $4,571professional $2,344

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
$1,000.00
Median
$3,715.35
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$2,344.23
Typical High
$7,585.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$7,762.47
Typical High
$14,791.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$2,137.96
Typical High
$2,691.53
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$2,137.96
Typical High
$2,691.53
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$5,754.40
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$891.25

Where Texas 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.

Texas $4,266 · 32nd 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.