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Surgery for a Fistula Just Under the Skin

Ohio rates for HCPCS 46270

Surgery for an anal fistula, a small abnormal tunnel running from inside the anal canal out to the skin, where the tunnel lies just beneath the surface and does not involve the muscle rings that control the bowel. The surgeon lays it open or removes it so it heals from the base upwards. It is the most straightforward form of this operation and is normally a day case.

Rates data updated July 2026.

How much does Surgery for a Fistula Just Under the Skin cost?

$4,571

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $4,571 for this service. Most negotiated rates run $2,042 to $6,918.

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.

How much rates vary

Facilitymedian $4,571 · 10th to 90th $708 to $9,772
$500$1K$2K$5K$10Kfacility $4,571

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
$645.65
Median
$5,370.32
Typical High
$10,715.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,019.95
Typical High
$7,943.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$426.58
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$707.95
Typical High
$2,290.87
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,041.74
Typical High
$4,570.88
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$3,388.44
Typical High
$6,918.31

Where Ohio sits

The same service costs 19.5 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.

Ohio· 11th of 50

$4,571

ME $10,233ND $525

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.