go back

Stretching the Anal Muscle Under Anesthesia

Vermont 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 October 2026.

How much does Stretching the Anal Muscle Under Anesthesia cost?

$251

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $251 for this service. Most negotiated rates run $234 to $295.

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.

How much rates vary

Facilitymedian $1,259 · 10th to 90th $309 to $1,479Professionalmedian $245 · 10th to 90th $178 to $347
$200$500$1Kfacility $1,259professional $245

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
Professional
Modifier
None
Typical Low
$169.82
Median
$177.83
Typical High
$234.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$295.12
Typical High
$295.12
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$234.42
Typical High
$426.58
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$239.88
Typical High
$354.81

Where Vermont sits

The same service costs 5.2 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.

Vermont· 17th of 51

$251

AK $692UT $132

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.