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Surgery for an Anal Fistula Between the Muscles

Iowa rates for HCPCS 46275

Surgery for an anal fistula, a small abnormal tunnel running from inside the anal canal out to the skin, where the tunnel passes between the two rings of muscle that control the bowel. The surgeon opens or removes the tunnel so it heals from the inside out, working carefully around the muscle that maintains continence. It is usually done under anesthesia as a day case.

Rates data updated July 2026.

How much does Surgery for an Anal Fistula Between the Muscles cost?

$1,380

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $1,380 for this service. Most negotiated rates run $776 to $5,012.

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.

How much rates vary

Facilitymedian $3,467 · 10th to 90th $575 to $7,943Professionalmedian $955 · 10th to 90th $447 to $1,585
$500$1K$2K$5K$10Kfacility $3,467professional $955

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
$707.95
Median
$3,981.07
Typical High
$9,332.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$794.33
Typical High
$1,737.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$954.99
Typical High
$5,754.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,148.15
Typical High
$1,380.38
Midlands
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$5,754.40
Typical High
$7,413.10

Where Iowa sits

The same service costs 20.4 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.

Iowa· 35th of 50

$1,380

ME $11,220ND $550

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.