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New York rates for HCPCS 45905

Dilation of anal sphincter (separate procedure) under anesthesia other than local

Facilitymedian $3,890 · 10th–90th $324–$8,3180%5%10th90th$3,890$100.0$500.0$2.0K$10.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $3,311.31 / $7,762.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,786.30 / $9,549.93
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $1,258.93 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $1,318.26 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $199.53 / $446.68
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,995.26 / $11,748.98
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,467.37 / $7,244.36
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $204.17 / $524.81