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Rectal Prolapse Repair From Below

North Carolina rates for HCPCS 45541

Fixes a rectum that has slipped down and out through the anus, working from the outside around the anus rather than through the abdomen. The prolapsed bowel is dealt with and the rectum secured so it stays inside. This route avoids abdominal surgery and is often chosen for frail patients or where an abdominal operation would carry too much risk.

Rates data updated July 2026.

How much does Rectal Prolapse Repair From Below cost?

$1,318

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $1,318 for this service. Most negotiated rates run $1,023 to $2,089.

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.

How much rates vary

Facilitymedian $1,318 · 10th to 90th $933 to $6,761Professionalmedian $1,349 · 10th to 90th $1,349 to $1,349
$1.0$10.0$100.0$1.0K$10.0Kfacility $1,318professional $1,349

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$2,089.30
Typical High
$7,585.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,398.83
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,445.44
Typical High
$2,691.53
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,122.02
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$5,248.07
Typical High
$14,454.40
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$8,128.31
Typical High
$8,128.31

Where North Carolina sits

The same service costs 10.5 times more in Indiana than in Maine. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $1,318 · 45th of 50
IN $7,244ME $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.