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Stretching the Anal Muscle Under Anesthesia

Wyoming 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?

$1,796

Typical total for the visit. In Wyoming, October 2026.

Insurers have agreed to pay about $1,796 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $1,259 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$537$324 to $692
Facility feeThe hospital or surgery center$1,259$1,259 to $1,549

How much rates vary

Facilitymedian $1,259 · 10th to 90th $1,072 to $1,622Professionalmedian $537 · 10th to 90th $204 to $832
$200$500$1K$2K$5Kfacility $1,259professional $537

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
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$234.42
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$691.83
Typical High
$831.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,548.82
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$234.42
Typical High
$398.11
United
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$1,288.25
Typical High
$5,370.32
United
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$302.00
Typical High
$562.34

Where Wyoming sits

The same service costs 8.1 times more in Colorado than in Montana. 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.

Physician feeFacility fee

Wyoming· 15th of 51

$1,796

$537 physician + $1,259 facility

CO $4,594MT $564

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.