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Surgical Repair Of A Narrowed Rectum

New Jersey rates for HCPCS 45500

This procedure surgically repairs a narrowing (stricture) of the rectum, widening the passage to relieve symptoms such as difficulty passing stool. It may be needed after prior surgery, radiation treatment, inflammatory bowel disease, or other scarring has caused the rectum to narrow. The approach and extent of repair depend on the cause and severity of the narrowing.

Rates data updated July 2026.

How much does Surgical Repair Of A Narrowed Rectum cost?

$661

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $6,166 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 5 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$617$537 to $851
FacilityA hospital or hospital-owned outpatient department$6,166$4,571 to $8,511

How much rates vary

Facilitymedian $6,166 · 10th to 90th $3,090 to $10,715Professionalmedian $617 · 10th to 90th $468 to $1,549
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $6,166professional $617

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
$3,090.30
Median
$6,165.95
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$660.69
Typical High
$1,318.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$851.14
Typical High
$1,288.25
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$8,511.38
Typical High
$12,589.25
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$5,754.40
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$630.96
Typical High
$1,202.26

Where New Jersey sits

The same service costs 3.0 times more in California than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $661 · 31st of 51
CA $1,622VT $550

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.