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Placement of a Seton for an Anal Fistula

Wyoming 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 October 2026.

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

$3,418

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

Insurers have agreed to pay about $3,418 for this procedure. That total is two separate charges: $398 to the doctor who performs it, and $3,020 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$398$302 to $501
Facility feeThe hospital or surgery center$3,020$3,020 to $3,020

How much rates vary

Facilitymedian $3,020 · 10th to 90th $2,455 to $3,548Professionalmedian $398 · 10th to 90th $234 to $562
$200$500$1K$2K$5K$10Kfacility $3,020professional $398

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$288.40
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$467.74
Typical High
$562.34
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$3,388.44
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$371.54
Typical High
$575.44
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,630.27
Typical High
$10,471.29
United
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$436.52
Typical High
$870.96

Where Wyoming sits

The same service costs 12.1 times more in Oklahoma 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

Wyoming· 12th of 51

$3,418

$398 physician + $3,020 facility

OK $4,730MT $390

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.