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Internal Hemorrhoid Treatment With Rubber Band

Iowa rates for HCPCS 46221

This treatment shrinks an internal hemorrhoid by placing a small, tight rubber band around its base, cutting off its blood supply so that it shrinks and eventually falls off on its own. It's a common, relatively quick in-office treatment that doesn't require cutting or stitches. More than one hemorrhoid can sometimes be treated in the same session, depending on the situation.

Rates data updated July 2026.

Facilitymedian $813 · 10th–90th $234$4,8980%5%10th90th$813Professionalmedian $355 · 10th–90th $182$1,2020%5%10th90th$355$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$2,238.72
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$331.13
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$457.09
Typical High
$851.14
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$389.05
Typical High
$724.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$436.52
Typical High
$2,238.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$524.81
Typical High
$2,089.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$524.81
Typical High
$691.83
Midlands
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$524.81
Typical High
$776.25
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$371.54
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,137.96
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$331.13
Typical High
$676.08
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$794.33