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Anal Canal Exam With Stretching Of A Narrowed Area

Rhode Island rates for HCPCS 46604

This procedure uses a short, rigid scope to examine the anal canal and lowest part of the rectum, combined with gently stretching a narrowed segment during the same visit. It is used to look for problems inside the anal canal while also treating tightness or narrowing that is causing symptoms.

Rates data updated July 2026.

How much does Anal Canal Exam With Stretching Of A Narrowed Area cost?

$501

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $2,399 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$447$81.28 to $708
FacilityA hospital or hospital-owned outpatient department$2,399$1,549 to $4,074

How much rates vary

Facilitymedian $2,399 · 10th to 90th $794 to $5,012Professionalmedian $447 · 10th to 90th $66 to $832
$100$200$500$1K$2K$5Kfacility $2,399professional $447

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
$1,513.56
Median
$1,548.82
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$501.19
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$575.44
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$354.81
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,630.27
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$416.87
Typical High
$1,096.48

Where Rhode Island sits

The same service costs 5.1 times more in New York than in Michigan. 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.

Rhode Island· 34th of 51

$501

NY $708MI $138

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.