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Internal Hemorrhoid Treatment With Rubber Band

Maryland 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.

How much does Internal Hemorrhoid Treatment With Rubber Band cost?

$282

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $324 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 6 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$282$214 to $407
FacilityA hospital or hospital-owned outpatient department$324$191 to $1,259

How much rates vary

Facilitymedian $324 · 10th to 90th $115 to $2,399Professionalmedian $282 · 10th to 90th $186 to $912
$1$10$100$1Kfacility $324professional $282

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
$114.82
Median
$323.59
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$281.84
Typical High
$1,023.29
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$208.93
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$281.84
Typical High
$512.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$263.03
Typical High
$501.19
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$346.74
Typical High
$489.78

Where Maryland sits

The same service costs 2.1 times more in Minnesota than in Hawaii. 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.

Maryland· 39th of 51

$282

MN $525HI $245

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.