# CPT 46020: Placement of seton, anal fistula

Medicare CPT 46020 pays $110.89 in a non-facility setting and $110.89 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $99.64 in Arkansas to $138.22 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/46020-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $110.89 |
| National facility | $110.89 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $138.22 | $138.22 |
| New York | $122.52 | $122.52 |
| Florida | $122.40 | $122.40 |
| District of Columbia | $122.35 | $122.35 |
| Illinois | $120.76 | $120.76 |
| New Jersey | $119.84 | $119.84 |
| Connecticut | $117.58 | $117.58 |
| Washington | $115.64 | $115.64 |
| Massachusetts | $115.48 | $115.48 |
| California | $114.60 | $114.60 |
| Maryland | $114.24 | $114.24 |
| Michigan | $113.45 | $113.45 |
| Rhode Island | $112.01 | $112.01 |
| Georgia | $111.57 | $111.57 |
| Pennsylvania | $111.48 | $111.48 |
| Colorado | $111.44 | $111.44 |
| Puerto Rico | $111.13 | $111.13 |
| Virgin Islands | $111.13 | $111.13 |
| Hawaii | $111.09 | $111.09 |
| West Virginia | $111.04 | $111.04 |
| New Hampshire | $110.96 | $110.96 |
| Montana | $110.87 | $110.87 |
| New Mexico | $110.12 | $110.12 |
| Oregon | $110.11 | $110.11 |
| Texas | $109.77 | $109.77 |
| Delaware | $109.52 | $109.52 |
| Nevada | $108.92 | $108.92 |
| Louisiana | $108.12 | $108.12 |
| Arizona | $107.97 | $107.97 |
| Wyoming | $107.76 | $107.76 |
| Ohio | $107.65 | $107.65 |
| Missouri | $107.54 | $107.54 |
| Utah | $107.36 | $107.36 |
| Virginia | $106.70 | $106.70 |
| South Carolina | $106.17 | $106.17 |
| Kentucky | $105.61 | $105.61 |
| Maine | $104.69 | $104.69 |
| Vermont | $104.57 | $104.57 |
| Oklahoma | $104.10 | $104.10 |
| North Carolina | $103.98 | $103.98 |
| North Dakota | $103.75 | $103.75 |
| Minnesota | $103.54 | $103.54 |
| South Dakota | $102.91 | $102.91 |
| Mississippi | $102.41 | $102.41 |
| Indiana | $101.91 | $101.91 |
| Tennessee | $101.83 | $101.83 |
| Idaho | $101.48 | $101.48 |
| Kansas | $101.24 | $101.24 |
| Wisconsin | $100.96 | $100.96 |
| Alabama | $100.87 | $100.87 |
| Nebraska | $100.45 | $100.45 |
| Iowa | $100.38 | $100.38 |
| Arkansas | $99.64 | $99.64 |

## Related codes

- 40490: Biopsy of lip — https://www.med-reveal.com/rates/40490-cpt-fee-schedule
- 40650: Repair lip, vermilion only — https://www.med-reveal.com/rates/40650-cpt-fee-schedule
- 41010: Frenotomy, lingual — https://www.med-reveal.com/rates/41010-cpt-fee-schedule
- 41112: Excision of lesion of tongue — https://www.med-reveal.com/rates/41112-cpt-fee-schedule
- 41599: Unlisted procedure, tongue/floor of mouth — https://www.med-reveal.com/rates/41599-cpt-fee-schedule
- 42700: Incision and drainage of peritonsillar abscess — https://www.med-reveal.com/rates/42700-cpt-fee-schedule
- 42820: Tonsillectomy and adenoidectomy, under age 12 — https://www.med-reveal.com/rates/42820-cpt-fee-schedule
- 42821: Tonsillectomy and adenoidectomy, age 12 or over — https://www.med-reveal.com/rates/42821-cpt-fee-schedule

Commercial negotiated rates for 46020 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules