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Initial Treatment Of An Anal Fissure

Washington rates for HCPCS 46940

Treatment of an anal fissure, a small tear in the lining of the anus that causes pain and sometimes bleeding, especially with bowel movements, by scraping away the unhealthy tissue or cauterizing it, along with gentle stretching of the surrounding muscle to relieve spasm. This is the first time this particular treatment is performed for a given fissure. It is generally used when simpler measures such as stool softeners or topical medication have not worked.

Rates data updated July 2026.

How much does Initial Treatment Of An Anal Fissure cost?

$269

Typical physician fee. In Washington, July 2026.

Insurers have agreed to pay about $269 for this service. Most negotiated rates run $191 to $407.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $269 · 10th to 90th $145 to $617
$50$100$200$500$1Kprofessional $269

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
Professional
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$645.65
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$316.23
Typical High
$660.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$316.23
Typical High
$588.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$93.33
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$371.54
Typical High
$660.69
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$371.54
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$281.84
Typical High
$537.03
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$281.84
Typical High
$426.58

Where Washington sits

The same service costs 2.3 times more in Minnesota than in Kentucky. 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.

Washington· 14th of 51

$269

MN $437KY $191

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.