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Unlisted Procedure Of The Anus

Kentucky rates for HCPCS 46999

Covers an operation on or around the anus for which there is no standard named service. The surgeon submits a written description of exactly what was done, and the health plan reviews it individually against a similar named operation to decide what to pay. It is used for newer techniques and for unusual situations that do not match any standard description.

Rates data updated October 2026.

How much does Unlisted Procedure Of The Anus cost?

$44.67

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $794 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$44.67$44.67 to $44.67
FacilityA hospital or hospital-owned outpatient department$794$447 to $1,995

How much rates vary

Facilitymedian $794 · 10th to 90th $324 to $4,169Professionalmedian $45 · 10th to 90th $45 to $63,096
$100$1K$10K$100Kfacility $794professional $45

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
$398.11
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$676.08
Typical High
$2,818.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$5,128.61
Typical High
$11,220.18
CareSource
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$2,344.23
Typical High
$3,388.44
CareSource
Setting
Professional
Modifier
None
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$467.74
Typical High
$794.33
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$588.84
Typical High
$1,621.81

Where Kentucky sits

The same service costs 123.0 times more in Oklahoma than in Hawaii. 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.

Kentucky· 50th of 51

$44.67

OK $3,631HI $29.51

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.