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Repair Of A Bulge From The Bowel Into The Vagina

Tennessee rates for HCPCS 57250

Repairs the wall between the vagina and the rectum when it has weakened and the bowel bulges forward into the vagina. Working through the vagina, the surgeon lifts the lining, brings the stretched supporting tissue back together with stitches and trims any excess lining before closing; the area between the vagina and the anus can be repaired at the same time. It is done for a feeling of bulging or pressure and for difficulty emptying the bowel.

Rates data updated July 2026.

Facilitymedian $3,236 · 10th–90th $912$10,7150%10%10th90th$3,236$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,818.38
Typical High
$10,232.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$5,370.32
Typical High
$9,332.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$12,882.50
Typical High
$42,657.95
Lucent Health
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,466.84
Typical High
$7,585.78