go back

Hemorrhoid Removal With Fistula Removal

Illinois rates for HCPCS 46262

Surgically removes both internal and external hemorrhoids at more than one place around the anus and, in the same operation, cuts out a fistula, an abnormal tunnel running from inside the anal canal out to the skin. Treating both problems together avoids a second operation. Healing takes several weeks and can be uncomfortable.

Rates data updated July 2026.

How much does Hemorrhoid Removal With Fistula Removal cost?

$3,372

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

Insurers have agreed to pay about $3,372 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $2,630 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$741$589 to $977
Facility feeThe hospital or surgery center$2,630$1,514 to $5,129

How much rates vary

Facilitymedian $2,630 · 10th to 90th $1,023 to $7,762Professionalmedian $741 · 10th to 90th $525 to $1,230
$500$1K$2K$5K$10K$20Kfacility $2,630professional $741

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
$812.83
Median
$2,089.30
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$630.96
Typical High
$1,202.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$3,981.07
Typical High
$10,232.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$870.96
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$1,258.93
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,047.13
Typical High
$2,511.89
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$758.58
Typical High
$851.14
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,388.44
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$691.83
Typical High
$1,202.26

Where Illinois sits

The same service costs 7.8 times more in California 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

Illinois· 33rd of 50

$3,372

$741 physician + $2,630 facility

CA $9,187WV $1,178

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.