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Placement of a Seton for an Anal Fistula

Colorado rates for HCPCS 46020

Threads a soft loop of suture or silicone through an abnormal tunnel running between the anal canal and the skin, and leaves it in place. Keeping the tunnel open lets infection drain away instead of building into an abscess, and the loop can later be tightened or used to guide a further repair. It is a short procedure done under anesthesia.

Rates data updated July 2026.

Facilitymedian $3,890 · 10th–90th $178$8,1280%10%10th90th$3,890Professionalmedian $158 · 10th–90th $112$8710%20%10th90th$158$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$5,495.41
Typical High
$7,244.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$2,691.53
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$281.84
Typical High
$478.63
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$870.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$204.17
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$4,897.79
Typical High
$9,772.37