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Incision Of A Painful Blood Clot In An External Hemorrhoid

Illinois rates for HCPCS 46083

A quick in-office procedure to cut open and drain a blood clot that has formed in an external hemorrhoid, the swollen vein tissue at the anal opening. It is done to relieve the sudden, sharp pain that a clotted hemorrhoid can cause, and provides much faster relief than waiting for the clot to resolve on its own.

Rates data updated July 2026.

How much does Incision Of A Painful Blood Clot In An External Hemorrhoid cost?

$209

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $977 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$200$129 to $282
FacilityA hospital or hospital-owned outpatient department$977$331 to $1,995

How much rates vary

Facilitymedian $977 · 10th to 90th $200 to $5,129Professionalmedian $200 · 10th to 90th $110 to $389
$100$200$500$1K$2K$5K$10Kfacility $977professional $200

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
$199.53
Median
$1,071.52
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$190.55
Typical High
$371.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$1,862.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$208.93
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$257.04
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$213.80
Typical High
$380.19
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$309.03
Typical High
$602.56
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$141.25
Typical High
$275.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$630.96
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$194.98
Typical High
$416.87

Where Illinois sits

The same service costs 2.2 times more in Minnesota than in Kentucky. 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.

Illinois· 19th of 51

$209

MN $347KY $155

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.