Price Checker / CPT 45905
How much does Dilation Of Anal Sphincter cost?
CPT 45905 · Based on 2026 Medicare rates and hospital-published pricing
A fair cash price for this is roughly $250–$510.
Fair price
$250–$510
What this should cost
With insurance
~$2,600
Typical out-of-pocket
Overcharged if over
$640
Push back above this
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Dilation Of Anal Sphincter
CPT code 45905 refers to dilation of anal sphincter (billing description: "Dilation of anal sphincter"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $169 in a facility (hospital or surgery center) and $169 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.