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Hemorrhoid Removal with Anal Fissure Repair

Colorado rates for HCPCS 46257

Surgical removal of hemorrhoids — swollen veins in and around the anus — along with repair of an anal fissure, a small tear in the lining of the anus, done together in the same procedure. Treating both at the same time addresses two related sources of pain and bleeding in that area in a single visit to the operating room. This combined approach is generally reserved for a single group of hemorrhoids and a fissure occurring together.

Rates data updated July 2026.

How much does Hemorrhoid Removal with Anal Fissure Repair cost?

$4,358

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

Insurers have agreed to pay about $4,358 for this procedure. That total is two separate charges: $468 to the doctor who performs it, and $3,890 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$468$417 to $603
Facility feeThe hospital or surgery center$3,890$813 to $6,918

How much rates vary

Facilitymedian $3,890 · 10th to 90th $490 to $8,913Professionalmedian $468 · 10th to 90th $389 to $832
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,890professional $468

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
$1,862.09
Median
$5,495.41
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$436.52
Typical High
$758.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$851.14
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$870.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$602.56
Typical High
$1,445.44
Select Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$794.33
Typical High
$891.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$436.52
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,897.79
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$891.25

Where Colorado sits

The same service costs 10.0 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeColorado $4,358 · 18th of 50
IN $8,209WV $824

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.