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Placement of a Seton for an Anal Fistula

Washington 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.

How much does Placement of a Seton for an Anal Fistula cost?

$708

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $708 for this service. Most negotiated rates run $339 to $8,913.

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 $708 · 10th to 90th $234 to $12,589
$200$500$1K$2K$5K$10K$20Kfacility $708

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
$338.84
Median
$7,943.28
Typical High
$13,489.63
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
$194.98
Median
$912.01
Typical High
$3,981.07
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$398.11
Typical High
$2,691.53
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$234.42
Typical High
$537.03
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$158.49
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
$1,318.26
Median
$7,943.28
Typical High
$15,488.17

Where Washington sits

The same service costs 11749.0 times more in Indiana than in Maine. 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· 40th of 51

$708

IN $6,761ME $0.58

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.