CPT 46020 Surgery - Digestive
Placement of seton Cost
Body System: Digestive
Medicare Facility Rate
$111
CMS PFS CY2026
Medicare Non-Facility Rate
$111
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.81
Work RVU
1.15
Facility PE RVU
0.36
Malpractice RVU
3.32
Total RVU
Frequently Asked Questions
How much does Placement of seton cost?
The Medicare facility rate is $111. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Placement of seton cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $111.