go back

Examination of the Anus and Rectum Under Anesthesia

Maryland rates for HCPCS 45990

A thorough examination of the anus and rectum carried out with the patient anesthetised, so the area can be inspected and felt properly without pain or muscle guarding. It usually takes in the skin around the anus, an internal examination by finger, and a look inside with a short instrument. It is arranged when pain, spasm or distress makes a complete examination impossible in a clinic room.

Rates data updated October 2026.

How much does Examination of the Anus and Rectum Under Anesthesia cost?

$115

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $115 for this service. Most negotiated rates run $102 to $120.

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 $1,230 · 10th to 90th $447 to $2,188Professionalmedian $115 · 10th to 90th $87 to $158
$100$200$500$1K$2Kfacility $1,230professional $115

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$120.23
CareFirst
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$114.82
Typical High
$141.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$1,479.11
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$109.65
Typical High
$181.97
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$109.65
Typical High
$162.18
United
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$645.65
Typical High
$1,380.38
United
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$100.00
Typical High
$194.98
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$134.90

Where Maryland sits

The same service costs 4.6 times more in Alaska than in New York. 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.

Maryland· 37th of 51

$115

AK $427NY $93.33

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.