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Procedure price report · Sigmoidoscopy, proctoscopy, and anoscopy

Anoscopy with biopsy of one or more areas

CPT 46606the billing code this page is about

Examination of the anal canal with a scope and removal of one or more small tissue samples for laboratory testing.

Hospitals typically charge $1,082 cash for this outpatient procedure — the median across 1,005 hospitals that filed a usable cash price; the average of the middle 60% is $1,228. Most fall between $336 and $2,923 (20th–80th percentile).

Hospitals
1,005
States
50
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,005 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$184$402$1,082$2,426$4,595

The most expensive tenth of hospitals charges at least 25× what the cheapest tenth charges ($184 vs $4,595).

How the prices are spread

$118 – $173: 47 hospitals$118$173 – $255: 56 hospitals$255 – $376: 75 hospitals$255$376 – $553: 95 hospitals$553 – $815: 116 hospitals$553$815 – $1,201: 86 hospitals$1,201 – $1,770: 154 hospitals$1,201$1,770 – $2,607: 88 hospitals$2,607 – $3,841: 92 hospitals$2,607$3,841 – $5,658: 97 hospitals$3,841median $1,082price bands are equal on a log scale
Hospitals per price band (906 of 1,005 — the bands cover the 5th to 95th percentile)
FromToHospitals
$118$17347
$173$25556
$255$37675
$376$55395
$553$815116
$815$1,20186
$1,201$1,770154
$1,770$2,60788
$2,607$3,84192
$3,841$5,65897

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,223
Median cash price$1,082
Cash as a multiple of Medicare0.89×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $1,082.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $354 across 12 hospitalsME$354Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,380 across 32 hospitalsWA$1,380Idaho: median $1,714 across 12 hospitalsID$1,714Montana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $600 across 37 hospitalsMN$600Illinois: median $873 across 41 hospitalsIL$873Wisconsin: median $1,004 across 38 hospitalsWI$1,004Michigan: median $302 across 37 hospitalsMI$302New York: median $1,395 across 68 hospitalsNY$1,395Massachusetts: median $2,441 across 18 hospitalsMA$2,441Oregon: median $584 across 28 hospitalsOR$584Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $626 across 32 hospitalsIA$626Indiana: median $423 across 15 hospitalsIN$423Ohio: median $1,380 across 41 hospitalsOH$1,380Pennsylvania: median $1,414 across 38 hospitalsPA$1,414New Jersey: median $3,786 across 41 hospitalsNJ$3,786Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,288 across 72 hospitalsCA$2,288Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $796 across 18 hospitalsCO$796Nebraska: median $487 across 20 hospitalsNE$487Missouri: median $626 across 21 hospitalsMO$626Kentucky: median $550 across 13 hospitalsKY$550West Virginia: median $402 across 19 hospitalsWV$402Virginia: median $2,929 across 26 hospitalsVA$2,929Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $317 across 16 hospitalsKS$317Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $742 across 11 hospitalsTN$742North Carolina: median $393 across 23 hospitalsNC$393South Carolina: median $1,557 across 15 hospitalsSC$1,557Oklahoma: median $125 across 17 hospitalsOK$125Louisiana: median $618 across 25 hospitalsLA$618Mississippi: median $283 across 14 hospitalsMS$283Alabama: median $1,309 across 10 hospitalsAL$1,309Georgia: median $1,713 across 28 hospitalsGA$1,713Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $718 across 35 hospitalsTX$718Florida: median $2,843 across 38 hospitalsFL$2,843
Cash price by state, most expensive first. National median $1,082. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ41$3,786+250%$1,387 – $5,339
Virginia VA26$2,929+171%$1,463 – $5,544
Florida FL38$2,843+163%$1,679 – $4,525
Massachusetts MA18$2,441+126%$1,122 – $3,661
California CA72$2,288+111%$1,235 – $4,906
Idaho ID12$1,714+58%$683 – $3,234
Georgia GA28$1,713+58%$1,246 – $2,923
South Carolina SC15$1,557+44%$1,071 – $1,557
Pennsylvania PA38$1,414+31%$190 – $2,539
New York NY68$1,395+29%$235 – $4,595
Ohio OH41$1,380+28%$278 – $2,395
Washington WA32$1,380+28%$384 – $2,810
Alabama AL10$1,309+21%$312 – $2,112
Wisconsin WI38$1,004−7%$637 – $1,578
Illinois IL41$873−19%$280 – $2,255
Colorado CO18$796−26%$472 – $3,156
Tennessee TN11$742−31%$203 – $1,496
Texas TX35$718−34%$703 – $1,196
Missouri MO21$626−42%$281 – $3,230
Iowa IA32$626−42%$373 – $978
Louisiana LA25$618−43%$392 – $1,115
Minnesota MN37$600−45%$434 – $1,348
Oregon OR28$584−46%$404 – $4,633
Kentucky KY13$550−49%$221 – $4,734
Nebraska NE20$487−55%$352 – $740
Indiana IN15$423−61%$221 – $983
West Virginia WV19$402−63%$83 – $3,694
North Carolina NC23$393−64%$377 – $2,766
Maine ME12$354−67%$123 – $712
Kansas KS16$317−71%$184 – $491
Michigan MI37$302−72%$114 – $1,645
Mississippi MS14$283−74%$248 – $688
Oklahoma OK17$125−88%$125 – $3,280
Montana MT9not enough hospitals filed a usable price
New Mexico NM9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $1,082.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care745$1,380$406 – $3,661
Children’s12fewer than 20 hospitals
Critical access246$504$231 – $1,301
Ownership
For-profit80$1,196$352 – $3,222
Government201$669$357 – $2,271
Non-profit722$1,246$318 – $2,929
System affiliation
Part of a system803$1,301$377 – $3,222
Independent202$548$221 – $1,550

Cash price vs list price

Median list price (chargemaster)$1,551
Median cash price$1,082
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

619 hospitals filed a usable inpatient cash price for this code. The median is $1,004 and the average of the middle 60% is $1,187; most fall between $313 and $2,631.

Cash price percentiles, inpatient, across 619 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$158$377$1,004$2,288$3,661

The most expensive tenth of hospitals charges at least 23× what the cheapest tenth charges ($158 vs $3,661).

Of the 675 hospitals that filed this code inpatient, 619 gave a usable cash price; 27 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 29 a list price only.

How complete is this

1,005 of the 3,956 hospitals with a price file in our corpus (25%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,101 hospitals that filed this code at all gave us
Usable cash price — counted1,005
Cash price carrying a plausibility flag — shown on the compare tool, excluded here62
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded28
Hospitals that filed this code1,101

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Sigmoidoscopy, proctoscopy, and anoscopy family.

Hospitals file this code under descriptions such as Anoscopy W/Bx Single/Multiple.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Anoscopy with biopsy of one or more areas (CPT 46606) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-46606-anoscopy-with-biopsy-of-one-or-more-areas