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Unlisted Surgical Procedure On The Rectum

Utah 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?

$4,266

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $4,266 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $7,943 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$44.67$44.67 to $3,890
FacilityA hospital or hospital-owned outpatient department$7,943$4,266 to $12,023

How much rates vary

Facilitymedian $7,943 · 10th to 90th $2,570 to $14,125Professionalmedian $45 · 10th to 90th $30 to $5,012
$50$200$1K$5K$20Kfacility $7,943professional $45

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
$3,388.44
Median
$6,025.60
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$7,762.47
Cigna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$44.67
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$9,120.11
Median
$12,022.64
Typical High
$17,378.01
Select Health
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$5,128.61
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$4,265.80
Typical High
$13,803.84

Where Utah 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.

Utah· 17th of 51

$4,266

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.