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Unlisted Procedure Of The Anus

Virginia 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?

$2,042

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $2,042 for this service. The price depends on where it is billed: about $2,951 from a physician practice, and about $1,738 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,951$1,738 to $5,248
FacilityA hospital or hospital-owned outpatient department$1,738$912 to $3,981

How much rates vary

Facilitymedian $1,738 · 10th to 90th $501 to $8,128Professionalmedian $2,951 · 10th to 90th $661 to $10,233
$20$100$500$2K$10Kfacility $1,738professional $2,951

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
$2,041.74
Median
$4,786.30
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$2,818.38
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$7,079.46
Median
$8,128.31
Typical High
$12,882.50
CareFirst
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$3,311.31
Typical High
$4,365.16
Cigna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$794.33
Typical High
$5,495.41
Medcost
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$53.70
Sentara
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$1,380.38
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$2,951.21
Typical High
$10,232.93
United
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$1,445.44
Typical High
$3,630.78

Where Virginia 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.

Virginia· 9th of 51

$2,042

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.