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Examination of the Anus and Rectum Under Anesthesia

Pennsylvania 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?

$1,731

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

Insurers have agreed to pay about $1,731 for this procedure. That total is two separate charges: $110 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 13 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$110$105 to $174
Facility feeThe hospital or surgery center$1,622$692 to $2,818

How much rates vary

Facilitymedian $1,622 · 10th to 90th $468 to $6,166Professionalmedian $110 · 10th to 90th $98 to $209
$100$200$500$1K$2K$5K$10Kfacility $1,622professional $110

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
$109.65
Median
$2,951.21
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$109.65
Typical High
$125.89
Ambetter
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$144.54
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,698.24
Typical High
$11,748.98
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$7,413.10
Typical High
$56,234.13
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$165.96
Typical High
$213.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$1,380.38
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$102.33
Typical High
$229.09
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$158.49
Typical High
$218.78
Geisinger
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$1,737.80
Typical High
$3,019.95
Geisinger
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$112.20
Typical High
$194.98
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$4,365.16
Typical High
$7,585.78
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$117.49
Typical High
$128.82
Independence Blue Cross
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,737.80
Typical High
$7,244.36
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$2,630.27
Typical High
$8,511.38
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$107.15
Typical High
$120.23
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$120.23
Typical High
$208.93
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$1,737.80
Typical High
$3,981.07
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$102.33
Typical High
$102.33
United
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$724.44
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$107.15
Typical High
$169.82

Where Pennsylvania 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

Pennsylvania· 31st of 51

$1,731

$110 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.