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Unlisted Surgical Procedure On The Rectum

Washington 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?

$7,943

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $7,943 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $13,183 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$1,288$79.43 to $3,548
FacilityA hospital or hospital-owned outpatient department$13,183$5,623 to $21,380

How much rates vary

Facilitymedian $13,183 · 10th to 90th $3,388 to $31,623Professionalmedian $1,288 · 10th to 90th $50 to $3,548
$100.0$1.0K$10.0Kfacility $13,183professional $1,288

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
$2,754.23
Median
$12,882.50
Typical High
$31,622.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,288.25
Typical High
$3,548.13
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$17,782.79
Typical High
$31,622.78
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,388.44
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$954.99
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$14,125.38
Typical High
$23,988.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$50.12
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$14,125.38
Typical High
$14,125.38
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$17,378.01
Typical High
$31,622.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,388.44
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$17,782.79
Typical High
$33,884.42
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Washington 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.

Washington $7,943 · 6th 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.