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Tying Off An Internal Hemorrhoid

California rates for HCPCS 46945

An internal hemorrhoid is treated by tying off the tissue with suture material or a similar device to cut off its blood supply, causing it to shrink over time, using a method other than the small rubber bands sometimes used for this purpose. This version treats a single affected area.

Rates data updated July 2026.

How much does Tying Off An Internal Hemorrhoid cost?

$4,500

Typical total for the visit. In California, July 2026.

Insurers have agreed to pay about $4,500 for this procedure. That total is two separate charges: $331 to the doctor who performs it, and $4,169 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 14 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$331$245 to $479
Facility feeThe hospital or surgery center$4,169$2,692 to $6,310

How much rates vary

Facilitymedian $4,169 · 10th to 90th $447 to $12,882Professionalmedian $331 · 10th to 90th $195 to $1,000
$100.0$1.0K$10.0Kfacility $4,169professional $331

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
$1,380.38
Median
$5,888.44
Typical High
$16,982.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$338.84
Typical High
$1,318.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$645.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,466.84
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$645.65
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$3,235.94
Typical High
$6,606.93
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$239.88
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,023.29
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$354.81
Typical High
$691.83
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$128.82
Typical High
$588.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$426.58
Typical High
$741.31
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$8,128.31
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,951.21
Typical High
$2,951.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$363.08
Typical High
$616.60
Providence
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$363.08
Typical High
$812.83
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$7,079.46
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$645.65

Where California sits

The same service costs 9.7 times more in Indiana than in North Carolina. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeCalifornia $4,500 · 8th of 50
IN $7,568NC $781

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.