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Hemorrhoid Removal with Anal Fissure Repair

Wyoming 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 October 2026.

How much does Hemorrhoid Removal with Anal Fissure Repair cost?

$4,338

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

Insurers have agreed to pay about $4,338 for this procedure. That total is two separate charges: $1,318 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$1,318$813 to $1,698
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 $1,318 · 10th to 90th $575 to $2,042
$500$1K$2K$5K$10Kfacility $3,020professional $1,318

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
$426.58
Median
$426.58
Typical High
$426.58
Aetna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$426.58
Typical High
$426.58
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
$1,096.48
Median
$1,698.24
Typical High
$2,041.74
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
$489.78
Median
$575.44
Typical High
$977.24
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
$489.78
Median
$758.58
Typical High
$1,380.38

Where Wyoming sits

The same service costs 4.4 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· 8th of 51

$4,338

$1,318 physician + $3,020 facility

OK $6,113MT $1,385

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.