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Examination of the Anus and Rectum Under Anesthesia

Washington 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 July 2026.

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

$380

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $380 for this service. Most negotiated rates run $200 to $6,607.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $380 · 10th to 90th $141 to $11,482
$100$500$2K$10Kfacility $380

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$6,025.60
Typical High
$16,982.44
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$8,709.64
Typical High
$15,488.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$758.58
Typical High
$3,981.07
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$229.09
Typical High
$3,715.35
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$204.17
Typical High
$213.80
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$144.54
Typical High
$1,995.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$8,317.64
Typical High
$15,135.61
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$7,943.28
Typical High
$15,488.17

Where Washington sits

The same service costs 42.7 times more in Indiana than in Hawaii. 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.

Washington· 41st of 50

$380

IN $6,310HI $148

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.