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Stretching the Anal Muscle Under Anesthesia

North Carolina rates for HCPCS 45905

Widens the ring of muscle around the anus while the patient is asleep or heavily sedated, rather than with local numbing only. It is used when the opening is too tight or in spasm, for example from scarring or a long-standing tear, making bowel movements painful or an examination impossible. The stretch is done gently, by hand or with a smooth dilator.

Rates data updated July 2026.

How much does Stretching the Anal Muscle Under Anesthesia cost?

$251

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $251 for this service. Most negotiated rates run $186 to $1,000.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $251 · 10th to 90th $166 to $5,248Professionalmedian $257 · 10th to 90th $257 to $257
$200$500$1K$2K$5Kfacility $251professional $257

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$1,659.59
Typical High
$6,165.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,778.28
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$758.58
Typical High
$1,148.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Medcost
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,995.26
Typical High
$6,309.57
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$19,498.45

Where North Carolina sits

The same service costs 37.2 times more in Indiana than in North 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.

North Carolina· 45th of 50

$251

IN $6,166ND $166

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.