go back

Texas rates for HCPCS 45500

Proctoplasty; for stenosis

Facilitymedian $2,512 · 10th–90th $617$7,2440%5%10%10th90th$2,512Professionalmedian $617 · 10th–90th $513$1,0470%20%40%10th90th$617$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $3,162.28 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $602.56 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,801.89 / $7,244.36
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,862.09 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $707.95 / $1,148.15
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $28,840.32 / $28,840.32
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,011.87 / $5,011.87
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $741.31 / $2,137.96
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $660.69 / $1,096.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $478.63
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $1,096.48 / $2,041.74
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $691.83 / $1,258.93
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $707.95 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $3,311.31 / $6,918.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $588.84 / $933.25
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $588.84 / $691.83