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Closure Of A Connection Between Rectum And Urethra

Vermont rates for HCPCS 45820

Surgery to close an abnormal channel between the rectum and the urethra, the tube that carries urine out of the bladder, which lets stool or gas pass into the urine and urine pass into the rectum. The surgeon separates the two structures, closes the opening in each, and usually lays healthy tissue between them so the channel does not reopen. This version is the repair on its own, without creating a temporary opening in the abdomen to divert stool.

Rates data updated October 2026.

How much does Closure Of A Connection Between Rectum And Urethra cost?

$1,778

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $1,778 for this service. Most negotiated rates run $1,514 to $2,138.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $776 · 10th to 90th $468 to $776Professionalmedian $1,778 · 10th to 90th $1,259 to $2,512
$500$1K$2K$5Kfacility $776professional $1,778

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,258.93
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$2,137.96
Typical High
$2,137.96
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,659.59
Typical High
$3,311.31
United
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
United
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,778.28
Typical High
$2,570.40

Where Vermont sits

The same service costs 20.9 times more in Alaska than in Texas. 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.

Vermont· 17th of 51

$1,778

AK $4,266TX $204

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.