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Colonoscopy With Hemorrhoid Band Treatment

South Dakota rates for HCPCS 45398

During this colonoscopy, the doctor passes a flexible scope through the entire colon and, upon finding hemorrhoids, places small elastic bands around them to cut off their blood supply. Over time the banded tissue shrinks and falls away on its own. This combines a full colon exam with treatment of hemorrhoids in the same procedure.

Rates data updated July 2026.

How much does Colonoscopy With Hemorrhoid Band Treatment cost?

$1,661

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $1,661 for this procedure. That total is two separate charges: $661 to the doctor who performs it, and $1,000 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$661$417 to $1,148
Facility feeThe hospital or surgery center$1,000$427 to $2,042

How much rates vary

Facilitymedian $1,000 · 10th to 90th $234 to $3,090Professionalmedian $661 · 10th to 90th $214 to $1,820
$200$500$1K$2Kfacility $1,000professional $661

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,041.74
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$501.19
Typical High
$1,023.29
Avera
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$457.09
Typical High
$1,412.54
Avera
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$660.69
Typical High
$2,344.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$707.95
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,174.90
Typical High
$6,025.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$575.44
Typical High
$1,659.59
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$912.01
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$741.31
Typical High
$1,862.09
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$537.03
Typical High
$2,290.87

Where South Dakota sits

The same service costs 5.4 times more in New Jersey than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

South Dakota· 43rd of 50

$1,661

$661 physician + $1,000 facility

NJ $6,491MD $1,198

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.