# CPT 46601: Anoscopy Dx W/hra &chem Agnts Enhancement

Medicare CPT 46601 pays $166.00 in a non-facility setting and $85.51 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $147.53 in Arkansas to $195.85 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/46601-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Infectious Disease

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $166.00 |
| National facility | $85.51 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $195.85 | $110.12 |
| District of Columbia | $188.63 | $93.81 |
| California | $184.25 | $89.00 |
| New York | $183.35 | $93.55 |
| New Jersey | $182.73 | $92.10 |
| Washington | $181.13 | $89.37 |
| Massachusetts | $179.59 | $89.15 |
| Hawaii | $177.69 | $86.17 |
| Connecticut | $176.75 | $90.05 |
| Florida | $173.00 | $92.23 |
| Colorado | $171.93 | $86.28 |
| Maryland | $171.77 | $87.85 |
| Oregon | $170.20 | $85.40 |
| Rhode Island | $169.76 | $86.61 |
| New Hampshire | $169.51 | $85.71 |
| Illinois | $168.97 | $91.19 |
| Puerto Rico | $167.07 | $85.69 |
| Virgin Islands | $167.07 | $85.69 |
| Montana | $165.99 | $85.49 |
| Nevada | $164.94 | $84.36 |
| Pennsylvania | $164.77 | $85.92 |
| Delaware | $164.27 | $84.74 |
| Wyoming | $164.18 | $83.68 |
| Minnesota | $164.16 | $81.33 |
| Texas | $164.13 | $84.88 |
| Georgia | $162.55 | $85.75 |
| Michigan | $162.34 | $86.76 |
| Virginia | $162.12 | $83.00 |
| North Dakota | $161.84 | $81.34 |
| Arizona | $161.68 | $83.68 |
| Vermont | $161.47 | $81.78 |
| South Dakota | $161.35 | $80.85 |
| Utah | $158.87 | $83.21 |
| Maine | $158.63 | $81.71 |
| New Mexico | $158.54 | $84.73 |
| Missouri | $157.09 | $83.22 |
| Louisiana | $157.04 | $83.54 |
| South Carolina | $156.83 | $82.45 |
| Ohio | $156.76 | $83.27 |
| Wisconsin | $156.66 | $79.54 |
| North Carolina | $156.31 | $81.21 |
| West Virginia | $155.02 | $85.07 |
| Indiana | $154.59 | $79.97 |
| Idaho | $153.76 | $79.70 |
| Kentucky | $153.54 | $81.98 |
| Nebraska | $153.41 | $79.11 |
| Tennessee | $153.03 | $79.86 |
| Oklahoma | $153.00 | $81.12 |
| Iowa | $152.69 | $79.03 |
| Kansas | $152.26 | $79.49 |
| Alabama | $149.60 | $79.16 |
| Mississippi | $149.32 | $80.01 |
| Arkansas | $147.53 | $78.38 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 46601 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