go back

Other Rectal Procedure

Massachusetts rates for HCPCS 45999

Covers a procedure on the rectum that is unusual enough to have no standard name of its own. The surgeon supplies a written report of exactly what was done and why, which is used to judge the work involved. What it covers depends entirely on the individual case.

Rates data updated July 2026.

How much does Other Rectal Procedure cost?

$2,570

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $2,570 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $2,818 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 7 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$646$174 to $2,570
FacilityA hospital or hospital-owned outpatient department$2,818$1,380 to $3,715

How much rates vary

Facilitymedian $2,818 · 10th to 90th $347 to $5,623Professionalmedian $646 · 10th to 90th $174 to $8,710
$0.1$1$10$100$1K$10Kfacility $2,818professional $646

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
$2,691.53
Median
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$645.65
Typical High
$8,709.64
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$851.14
Typical High
$3,548.13
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$741.31
Typical High
$9,549.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$676.08
Typical High
$741.31
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$3,311.31
Typical High
$8,511.38
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$1,949.84
Typical High
$7,079.46
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$851.14
Typical High
$3,548.13
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$741.31
Typical High
$9,549.93
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,949.84
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$64.57
Typical High
$64.57

Where Massachusetts sits

The same service costs 33.1 times more in North Dakota than in South Dakota. 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.

Massachusetts· 24th of 50

$2,570

ND $8,511SD $257

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.