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Muscle-Relaxing Injection Into the Anal Muscle

Rhode Island 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 October 2026.

How much does Muscle-Relaxing Injection Into the Anal Muscle cost?

$1,577

Typical total for the visit. In Rhode Island, October 2026.

Insurers have agreed to pay about $1,577 for this procedure. That total is two separate charges: $347 to the doctor who performs it, and $1,230 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$347$295 to $417
Facility feeThe hospital or surgery center$1,230$794 to $2,630

How much rates vary

Facilitymedian $1,230 · 10th to 90th $646 to $4,898Professionalmedian $347 · 10th to 90th $240 to $525
$200$500$1K$2K$5Kfacility $1,230professional $347

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,548.82
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$346.74
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$204.17
Median
$204.17
Typical High
$245.47
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$354.81
Typical High
$416.87
BCBS Rhode Island
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$186.21
Median
$269.15
Typical High
$338.84
BCBS Rhode Island
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$23.44
Median
$33.88
Typical High
$41.69
BCBS Rhode Island
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$23.44
Median
$33.88
Typical High
$41.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$851.14
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$446.68
Typical High
$524.81
United
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$1,445.44
Typical High
$5,011.87
United
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$263.03
Typical High
$416.87

Where Rhode Island sits

The same service costs 5.6 times more in Colorado 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.

Physician feeFacility fee

Rhode Island· 29th of 51

$1,577

$347 physician + $1,230 facility

CO $4,745ND $852

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.