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Surgical Procedure On The Anal Sphincter Muscle

Wyoming 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 October 2026.

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

$1,175

Typical negotiated rate. In Wyoming, October 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $3,020 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,175$741 to $1,514
FacilityA hospital or hospital-owned outpatient department$3,020$3,020 to $3,020

How much rates vary

Facilitymedian $3,020 · 10th to 90th $2,455 to $3,548Professionalmedian $1,175 · 10th to 90th $513 to $1,820
$500$1K$2K$5K$10Kfacility $3,020professional $1,175

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
Facility
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$380.19
Typical High
$380.19
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,513.56
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$3,388.44
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$512.86
Typical High
$851.14
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,630.27
Typical High
$10,471.29
United
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$660.69
Typical High
$1,202.26

Where Wyoming sits

The same service costs 5.1 times more in Alaska than in Utah. 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.

Wyoming· 2nd of 51

$1,175

AK $1,549UT $302

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.