Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 46715 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Rpair Of Low Imperforat Anus; W/ Anoperineal Fistula (Cut-Bck Pro, Repair Of Low Imperforate Anus; With Anoperineal Fistula (Cut-Back Pro
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision 82 - Assistant surgeon - no qualified resident AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46715 |
| Medicaid Fee Schedule | View Medicaid rates for 46715 |
National average reimbursement for CPT 46715 by major payers:
$653.37
$706.18
$757.07
$873.67
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 46715.
CPT 46715
5 of 25 sample ratesHigher to lower in this preview
Voorhees Nj Endoscopy Asc LLC, The Endo Center At Voorhees
The Voorhees Nj Endoscopy Asc LLC
$4,300.00Published rateSurgery Center Of North Central Ohio LLC, The Surgery Center Of North Central Ohio
The Surgery Center Of North Cent
$1,050.00Published ratePacific Cataract And Laser Institute Inc PC
Pacific Cataract And Laser Institute, Inc., PC
$624.00Published rateThe Surgery Center Of Jacksonville LLC, Centerone Surgery Center
Center One Surgery Center
$415.00Published rateEndoscopy Center Of Arkansas, LLC
Endoscopy Center Of Arkansas LLC
$250.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 46715 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46715 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 46715 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 46706-CPT | Moderate | Surgery To Close Anal Fistula, Surgery To Close Off An Anal Fistula. This Is A Small Abnormal Tunnel That Starts In The Anal Canal Or Passageway And Ends At The Surface Of Skin Or Elsewhere In The Body. |
| 46715-CPT | Moderate | Rpair Of Low Imperforat Anus; W/ Anoperineal Fistula (Cut-Bck Pro, Repair Of Low Imperforate Anus; With Anoperineal Fistula (Cut-Back Pro |
| 46716-CPT | High | Rpair Of Low Imperforat Anus; W/ Transposi Of Anoperineal Or A, Repair Of Low Imperforate Anus; With Transposition Of Anoperineal Or A |
| 46730-CPT | High | Construction Of Absent Anus, Repair Of Absence Of Opening In Anus Via Incision Of Region Between Thighs Or Below Sacrum (Perineal Or Sacroperineal Approach) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46715. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46715 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 46715) and we'll show you how you compare in 15 minutes or less.