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Division Of The Anal Sphincter Muscle

California rates for HCPCS 46080

Cuts through part of the ring of muscle around the anus to release the spasm that is stopping a painful tear from healing. Relaxing the muscle improves the blood supply to the area, so the tear heals and the sharp pain on opening the bowels settles. It is a short procedure done under anesthesia.

Rates data updated July 2026.

How much does Division Of The Anal Sphincter Muscle cost?

$5,623

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $5,623 for this service. Most negotiated rates run $537 to $9,550.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,607 · 10th to 90th $288 to $15,136Professionalmedian $309 · 10th to 90th $148 to $589
$100$500$2K$10Kfacility $6,607professional $309

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
$933.25
Median
$6,760.83
Typical High
$18,197.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$7,943.28
Typical High
$15,848.93
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$4,786.30
Typical High
$9,772.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,023.29
Typical High
$2,691.53
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$177.83
Typical High
$524.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$316.23
Typical High
$588.84
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$45,708.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$275.42
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$4,265.80
Typical High
$9,549.93

Where California sits

The same service costs 27.5 times more in Maine than in North Dakota. 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.

California· 7th of 50

$5,623

ME $7,413ND $269

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.