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Internal Hemorrhoid Treatment With Rubber Band

Washington 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 $513 · 10th–90th $275$3,7150%10%10th90th$513Professionalmedian $347 · 10th–90th $191$1,0470%10%10th90th$347$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$275.42
Median
$724.44
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$1,122.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$575.44
Typical High
$707.95
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,818.38
Typical High
$5,011.87
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$436.52
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$380.19
Typical High
$741.31
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$426.58
Typical High
$812.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$398.11
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$125.89
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$524.81
Typical High
$562.34
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$389.05
Typical High
$389.05
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$407.38
Typical High
$707.95
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,754.23
Typical High
$4,897.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$2,754.23
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$331.13
Typical High
$660.69
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$478.63