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Unlisted Surgical Procedure On The Rectum

Virginia 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?

$7,413

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $7,413 for this service. The price depends on where it is billed: about $7,943 from a physician practice, and about $7,413 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$7,943$5,248 to $10,233
FacilityA hospital or hospital-owned outpatient department$7,413$3,020 to $10,471

How much rates vary

Facilitymedian $7,413 · 10th to 90th $1,622 to $16,218Professionalmedian $7,943 · 10th to 90th $2,570 to $16,218
$1K$2K$5K$10K$20Kfacility $7,413professional $7,943

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
$3,801.89
Median
$5,623.41
Typical High
$15,488.17
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$5,248.07
Typical High
$14,125.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$7,079.46
Median
$8,128.31
Typical High
$12,882.50
CareFirst
Setting
Professional
Modifier
None
Typical Low
$5,495.41
Median
$6,456.54
Typical High
$8,317.64
Cigna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$794.33
Typical High
$5,495.41
Sentara
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$7,413.10
Typical High
$14,791.08
Sentara
Setting
Professional
Modifier
None
Typical Low
$4,570.88
Median
$10,232.93
Typical High
$16,218.10
United
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$8,511.38
Typical High
$20,417.38

Where Virginia 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.

Virginia· 6th of 51

$7,413

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.