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Nationwide rates for HCPCS 46280

Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed

Facilitymedian $4,898 · 10th–90th $676$12,0230%10%20%10th90th$4,898Professionalmedian $676 · 10th–90th $457$1,7380%20%10th90th$676$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $5,128.61 / $10,964.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $7,413.10 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,380.38 / $3,311.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $3,890.45 / $9,120.11