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Surgery for a Complex Anal Fistula

Nevada rates for HCPCS 46280

Surgery for an anal fistula, an abnormal tunnel between the anal canal and the skin, where the tunnel takes a course through or around the muscle rings that control the bowel, or where more than one tunnel is present. The tunnel is removed or laid open, and a soft loop called a seton may be threaded through it and left in place so it keeps draining while the muscle is protected. It is done under anesthesia and may be the first of more than one stage.

Rates data updated July 2026.

How much does Surgery for a Complex Anal Fistula cost?

$2,951

Typical facility fee. In Nevada, July 2026.

Insurers have agreed to pay about $2,951 for this service. Most negotiated rates run $575 to $4,169.

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 $3,162 · 10th to 90th $513 to $5,888Professionalmedian $501 · 10th to 90th $6 to $776
$10$100$1K$10Kfacility $3,162professional $501

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
$512.86
Median
$3,162.28
Typical High
$6,918.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,073.80
Typical High
$5,888.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,041.74
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$501.19
Typical High
$776.25
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Select Health
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$426.58
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,479.11
Typical High
$4,265.80

Where Nevada sits

The same service costs 15.1 times more in Delaware than in Maryland. 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.

Nevada· 31st of 50

$2,951

DE $8,913MD $589

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.