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Hemorrhoid Removal With Fistula Repair

Delaware rates for HCPCS 46258

Surgical removal of hemorrhoids, covering both the swollen veins inside the anal canal and those under the skin at the opening, together with removal of a fistula, an abnormal tunnel running from inside the bowel out to the skin nearby.

Rates data updated July 2026.

How much does Hemorrhoid Removal With Fistula Repair cost?

$7,757

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

Insurers have agreed to pay about $7,757 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $7,244 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$513$468 to $575
Facility feeThe hospital or surgery center$7,244$4,898 to $8,511

How much rates vary

Facilitymedian $7,244 · 10th to 90th $1,023 to $8,511Professionalmedian $513 · 10th to 90th $389 to $776
$500$1K$2K$5Kfacility $7,244professional $513

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. 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
Global
Typical Low
$4,897.79
Median
$8,511.38
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$512.86
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$524.81
Typical High
$851.14
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,000.00
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$478.63
Typical High
$831.76

Where Delaware sits

The same service costs 8.6 times more in Indiana than in West Virginia. 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

Delaware· 2nd of 50

$7,757

$513 physician + $7,244 facility

IN $8,275WV $957

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.