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Removal Of A Clotted External Hemorrhoid

Washington rates for HCPCS 46320

Under local anesthetic, the swollen vein at the anal opening that has clotted is cut out along with the clot inside it, rather than the clot alone being drained. The small wound is then closed or left to heal on its own. Taking out the hemorrhoid itself relieves the sudden pain quickly and makes another clot forming in the same spot less likely.

Rates data updated July 2026.

How much does Removal Of A Clotted External Hemorrhoid cost?

$229

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $355 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 10 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$214$151 to $339
FacilityA hospital or hospital-owned outpatient department$355$229 to $1,047

How much rates vary

Facilitymedian $355 · 10th to 90th $155 to $5,129Professionalmedian $214 · 10th to 90th $112 to $550
$1.0$10.0$100.0$1.0K$10.0Kfacility $355professional $214

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
$213.80
Median
$562.34
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$194.98
Typical High
$630.96
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,715.35
Typical High
$6,456.54
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$288.40
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$467.74
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$257.04
Typical High
$537.03
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$275.42
Typical High
$676.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$251.19
Typical High
$478.63
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$125.89
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$354.81
Typical High
$416.87
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$295.12
Typical High
$295.12
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$295.12
Typical High
$537.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$3,548.13
Typical High
$6,456.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,715.35
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$223.87
Typical High
$436.52
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$229.09
Typical High
$338.84

Where Washington sits

The same service costs 2.0 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington $229 · 8th of 51
MN $339KY $166

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.