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Examination of the Anus and Rectum Under Anesthesia

Missouri 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?

$1,748

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

Insurers have agreed to pay about $1,748 for this procedure. That total is two separate charges: $126 to the doctor who performs it, and $1,622 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$126$112 to $162
Facility feeThe hospital or surgery center$1,622$813 to $2,818

How much rates vary

Facilitymedian $1,622 · 10th to 90th $447 to $5,623Professionalmedian $126 · 10th to 90th $100 to $912
$100$200$500$1K$2K$5K$10Kfacility $1,622professional $126

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
Facility
Modifier
None
Typical Low
$123.03
Median
$3,235.94
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$112.20
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$112.20
Typical High
$112.20
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$1,621.81
Typical High
$3,890.45
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$117.49
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
62 · Two surgeons
Typical Low
$63.10
Median
$74.13
Typical High
$117.49
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$112.20
Typical High
$158.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$1,778.28
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$117.49
Typical High
$223.87
Medica
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$1,584.89
Typical High
$16,218.10
Medica
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$407.38
Typical High
$912.01
United
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$1,513.56
Typical High
$3,235.94
United
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$147.91
Typical High
$251.19

Where Missouri sits

The same service costs 13.3 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

Missouri· 29th of 51

$1,748

$126 physician + $1,622 facility

CO $4,506MT $340

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.