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

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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

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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