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 46940 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.
Curettage Or Cauterization Of, Curettage Or Cauterization Of Anal Fissure Includingdilation Of Anal Sphincter (Separate Procedure) Initial
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 78 - Return to OR - related procedure 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46940 |
| Medicaid Fee Schedule | View Medicaid rates for 46940 |
National average reimbursement for CPT 46940 by major payers:
$302.91
$304.91
$346.99
$251.11
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 46940.
CPT 46940
5 of 25 sample ratesHigher to lower in this preview
Iowa City Ambulatory Surgical Center, LLC
Iowa City Ambulatory Surgical Center
$2,180.00Published rateUpstate Orthopedics Ambulatory Surgery Center LLC, Upstate Orthopedics Asc
$1,181.00Published rateTexas Center For Interventional Surgery, LLC
Texas Center For Interventional Surgery LLC
$700.00Published rateArizona Surgical Specialists Center, LLC
Arizona Surgical Specialists Center LLC
$551.00Published rateGrant Roesler
Deaconess Hospital Inc
$191.02Published 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 46940 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46940 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 46940 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 |
|---|---|---|
| 46922-CPT | Moderate | Excision Of Anal Lesion S, Destruction Of Lesion S Anus Eg Condyloma Papilloma Molluscum Contagiosum Herpetic Vesicle Simple Surgical Excision |
| 46930-CPT | Moderate | Destruction Of Internal Hemorr, Destruction Of Internal Hemorrhoid(S) By Thermal Energy (E.G. Infrared Coagulation Cautery Radiofrequency) |
| 46940-CPT | Moderate | Curettage Or Cauterization Of, Curettage Or Cauterization Of Anal Fissure Includingdilation Of Anal Sphincter (Separate Procedure) Initial |
| 46942-CPT | Moderate | Curettage Or Cauterization Of, Curettage Or Cauterization Of Anal Fissure Includingdilation Of Anal Sphincter (Separate Procedure) Subsequent |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46940. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46940 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 46940) and we'll show you how you compare in 15 minutes or less.