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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 July 2026.

How much does Unlisted Surgical Procedure On The Rectum cost?

$7,079

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $7,079 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $7,079 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 6 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$4,365$1,995 to $7,943
FacilityA hospital or hospital-owned outpatient department$7,079$4,467 to $10,000

How much rates vary

Facilitymedian $7,079 · 10th to 90th $3,236 to $15,136Professionalmedian $4,365 · 10th to 90th $1,288 to $10,000
$1K$2K$5K$10K$20Kfacility $7,079professional $4,365

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
$3,235.94
Median
$5,370.32
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$3,388.44
Typical High
$7,943.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$9,332.54
Typical High
$12,882.50
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$6,918.31
Typical High
$8,317.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$616.60
Sentara
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$10,000.00
Typical High
$16,218.10
Sentara
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$10,000.00
Typical High
$16,218.10
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$10,232.93
Typical High
$21,877.62
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Virginia sits

The same service costs 19.5 times more in Wisconsin than in Maine. 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· 9th of 50

$7,079

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.