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Muscle-Relaxing Injection Into the Anal Muscle

West Virginia 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.

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

$3,020

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $3,020 for this service. Most negotiated rates run $427 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,020 · 10th to 90th $245 to $4,169
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $3,020

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
$245.47
Median
$3,019.95
Typical High
$4,168.69
CareSource
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$426.58
Typical High
$426.58
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$1,230.27
Typical High
$3,311.31

Where West Virginia sits

The same service costs 16.6 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $3,020 · 9th of 50
IN $5,012ND $302

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.