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Other Rectal Procedure

Montana 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?

$2,512

Typical facility fee. In Montana, July 2026.

Insurers have agreed to pay about $2,512 for this service. Most negotiated rates run $85.11 to $46,774.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $46,774 · 10th to 90th $2,512 to $89,125Professionalmedian $85 · 10th to 90th $79 to $2,630
$100$1K$10K$100Kfacility $46,774professional $85

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,511.89
Typical High
$2,630.27
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,511.89
Typical High
$2,630.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11

Where Montana 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.

Montana· 26th of 50

$2,512

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.