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Rectal Injury Repair With Drainage And Diversion

New Jersey rates for HCPCS 45563

Emergency surgery after an injury to the rectum. The area is explored and the tear repaired, a drain is placed in the space in front of the tailbone so infected fluid cannot collect there, and the bowel is diverted to an opening on the abdominal wall so that stool bypasses the repair while it heals. The diversion is usually reversed at a later operation once the repair is sound.

Rates data updated July 2026.

How much does Rectal Injury Repair With Drainage And Diversion cost?

$1,862

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,778 from a physician practice, and about $6,918 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$1,778$1,585 to $2,399
FacilityA hospital or hospital-owned outpatient department$6,918$4,467 to $10,233

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,995 to $11,749Professionalmedian $1,778 · 10th to 90th $1,380 to $3,631
$1K$2K$5K$10Kfacility $6,918professional $1,778

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
$2,818.38
Median
$6,918.31
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,737.80
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,949.84
Typical High
$3,981.07
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,290.87
Typical High
$3,311.31
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$223.87
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,862.09
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,786.30
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,862.09
Typical High
$3,630.78

Where New Jersey sits

The same service costs 2.3 times more in Minnesota than in Kentucky. 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.

New Jersey· 33rd of 51

$1,862

MN $3,802KY $1,660

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.