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Division Of The Anal Sphincter Muscle

Pennsylvania 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?

$4,074

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4,074 for this service. Most negotiated rates run $1,413 to $6,166.

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 $4,074 · 10th to 90th $288 to $7,762
$200$500$1K$2K$5K$10Kfacility $4,074

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
$288.40
Median
$4,168.69
Typical High
$7,762.47
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$6,606.93
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$1,995.26
Typical High
$3,890.45
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,290.87
Typical High
$2,570.40
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,165.95
Typical High
$9,332.54
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$4,168.69
Typical High
$8,317.64
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,659.59
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,570.40
Typical High
$8,128.31

Where Pennsylvania 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.

Pennsylvania· 10th of 50

$4,074

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.