Second-Stage Anal Fistula Surgery

Nationwide rates for HCPCS 46285

Finishes the treatment of an anal fistula, an abnormal tunnel running from inside the anal canal out to the skin, in a planned follow-up operation after an earlier stage. The remaining part of the tunnel is laid open or removed, and any thread or drain left in at the first operation is taken out. Doing the work in stages helps protect the muscle that controls bowel movements.

Rates data updated July 2026.

How much does Second-Stage Anal Fistula Surgery cost?

$3,253

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $3,253 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $2,512 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

23% physician fee77% facility fee

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 59 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$741	$562 to $1,072
Facility feeThe hospital or surgery center	The hospital or surgery center	$2,512	$776 to $5,012

How much rates vary

Facilitymedian $2,512 · 10th to 90th $490 to $8,318Professionalmedian $741 · 10th to 90th $447 to $1,479

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $537.03 Median $2,630.27 Typical High $8,709.64	Facility	Global	$537.03	$2,630.27	$8,709.64
BCBS Setting Facility Modifier Global Typical Low $1,513.56 Median $4,168.69 Typical High $10,000.00	Facility	Global	$1,513.56	$4,168.69	$10,000.00
Cigna Setting Facility Modifier Global Typical Low $426.58 Median $1,479.11 Typical High $3,467.37	Facility	Global	$426.58	$1,479.11	$3,467.37
United Setting Facility Modifier Global Typical Low $1,000.00 Median $3,801.89 Typical High $9,120.11	Facility	Global	$1,000.00	$3,801.89	$9,120.11

What it costs in each state

The same service costs 4.4 times more in Wisconsin than in North Carolina. 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

Touch or drag across the chart to see any state's rate.

WI $5,211NC $1,195

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.