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Surgical Procedure On The Anal Sphincter Muscle

North Dakota rates for HCPCS 45108

This procedure involves the ring of muscle that controls the anus, removing or adjusting a portion of it to treat certain functional bowel problems. It can be used to help with chronic constipation related to a muscle that doesn't relax properly, or other conditions affecting bowel muscle control. It is performed through the anal canal without an external incision.

Rates data updated July 2026.

How much does Surgical Procedure On The Anal Sphincter Muscle cost?

$724

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $724 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $363 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$741$427 to $871
FacilityA hospital or hospital-owned outpatient department$363$363 to $2,512

How much rates vary

Facilitymedian $363 · 10th to 90th $347 to $8,511Professionalmedian $741 · 10th to 90th $347 to $977
$500$1K$2K$5Kfacility $363professional $741

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
$346.74
Median
$363.08
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$363.08
Typical High
$1,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$691.83
Typical High
$1,071.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$549.54
Typical High
$1,096.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$588.84
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,677.35
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$537.03
Typical High
$851.14

Where North Dakota sits

The same service costs 3.2 times more in California than in West Virginia. 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.

North Dakota· 4th of 51

$724

CA $1,202WV $380

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.