CPT 46220 Surgery - Digestive
Excise anal ext tag/papilla Cost
Body System: Digestive
Medicare Facility Rate
$120
CMS PFS CY2026
Medicare Non-Facility Rate
$276
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.57
Work RVU
1.72
Facility PE RVU
0.29
Malpractice RVU
8.25
Total RVU
Frequently Asked Questions
How much does Excise anal ext tag/papilla cost?
The Medicare facility rate is $120. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Excise anal ext tag/papilla 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 $120.