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Muscle-Relaxing Injection Into the Anal Muscle

Maryland rates for HCPCS 46505

Injection of a muscle-relaxing medicine, usually botulinum toxin, into the inner ring of muscle around the anus so it stops gripping so tightly. Easing that spasm improves blood flow to the area and lets a painful tear in the anal lining heal. The effect wears off over a few months, by which time healing has usually happened.

Rates data updated July 2026.

Facilitymedian $776 · 10th–90th $316$1,7380%10%20%10th90th$776Professionalmedian $389 · 10th–90th $275$5500%20%10th90th$389$1.0$5.0$20.0$100.0$500.0$2.0K

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
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$1,148.15
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$676.08
Typical High
$1,122.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$1,288.25