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Hemorrhoid Removal With Fissure Repair

Iowa rates for HCPCS 46261

Surgically cuts out internal and external hemorrhoids at more than one location around the anus, and in the same operation removes a fissure, a painful tear in the anal lining. It is done under anesthesia when hemorrhoids have not responded to office treatments. Healing takes several weeks and stool softeners and sitz baths are usually advised.

Rates data updated July 2026.

How much does Hemorrhoid Removal With Fissure Repair cost?

$1,698

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $1,698 for this service. Most negotiated rates run $891 to $5,370.

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.

How much rates vary

Facilitymedian $4,571 · 10th to 90th $692 to $7,943Professionalmedian $1,175 · 10th to 90th $501 to $1,738
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $4,571professional $1,175

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
$891.25
Median
$5,248.07
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,023.29
Typical High
$1,778.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,148.15
Typical High
$7,079.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,202.26
Typical High
$1,445.44
Midlands
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$5,754.40
Typical High
$7,413.10

Where Iowa sits

The same service costs 15.5 times more in California than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $1,698 · 34th of 50
CA $8,128ND $525

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.