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Unlisted Procedure Of The Anus

Washington 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 July 2026.

How much does Unlisted Procedure Of The Anus cost?

$1,738

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $3,890 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 8 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$1,380$195 to $1,738
FacilityA hospital or hospital-owned outpatient department$3,890$2,291 to $6,457

How much rates vary

Facilitymedian $3,890 · 10th to 90th $813 to $10,965Professionalmedian $1,380 · 10th to 90th $50 to $1,738
$50$200$1K$5K$20Kfacility $3,890professional $1,380

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
$2,290.87
Median
$5,754.40
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$1,380.38
Typical High
$1,737.80
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,818.38
Typical High
$5,011.87
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$954.99
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,238.72
Typical High
$3,890.45
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$50.12
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$870.96
Typical High
$2,187.76
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,754.23
Typical High
$4,897.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$2,884.03
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Washington sits

The same service costs 15.8 times more in New Jersey than in West Virginia. 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· 26th of 50

$1,738

NJ $5,495WV $347

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.