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Internal Hemorrhoid Treatment With Rubber Band

South Dakota 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 $1,175 · 10th–90th $240$1,8620%10%20%10th90th$1,175Professionalmedian $417 · 10th–90th $178$1,0230%10%10th90th$417$100.0$200.0$500.0$1.0K$2.0K

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
$501.19
Median
$1,174.90
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$323.59
Typical High
$1,047.13
Avera
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$398.11
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$575.44
Typical High
$851.14
Medica
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$331.13
Typical High
$691.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$457.09
Typical High
$2,089.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$478.63
Typical High
$630.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$549.54
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$380.19
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$371.54
Typical High
$660.69
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$501.19
Typical High
$831.76