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Drainage of Deep Rectal-Area Abscess

Virginia rates for HCPCS 46040

A surgeon makes an incision to open and drain a pocket of infection (abscess) located in the deep tissue next to the rectum. The area is opened so pus can drain out, which relieves pain and pressure and lets the infection heal. This is a more involved procedure than draining a superficial abscess near the anus, since the infection sits deeper in the tissue.

Rates data updated July 2026.

How much does Drainage of Deep Rectal-Area Abscess cost?

$1,352

Typical total for the visit. In Virginia, July 2026.

Insurers have agreed to pay about $1,352 for this procedure. That total is two separate charges: $575 to the doctor who performs it, and $776 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$575$468 to $724
Facility feeThe hospital or surgery center$776$550 to $3,388

How much rates vary

Facilitymedian $776 · 10th to 90th $437 to $5,888Professionalmedian $575 · 10th to 90th $407 to $977
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $776professional $575

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
$588.84
Median
$1,230.27
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$562.34
Typical High
$933.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$630.96
Typical High
$1,000.00
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$457.09
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$645.65
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$954.99
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$758.58
Typical High
$1,230.27
Medcost
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$602.56
Typical High
$812.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$630.96
Typical High
$1,000.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$933.25
Sentara
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$489.78
Typical High
$1,819.70
Sentara
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$2,754.23
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$537.03
Typical High
$933.25

Where Virginia sits

The same service costs 6.7 times more in Maine than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeVirginia $1,352 · 47th of 51
ME $7,740DE $1,159

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.