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Tying Off An Internal Hemorrhoid

Iowa 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?

$3,507

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

Insurers have agreed to pay about $3,507 for this procedure. That total is two separate charges: $417 to the doctor who performs it, and $3,090 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$417$324 to $603
Facility feeThe hospital or surgery center$3,090$589 to $5,370

How much rates vary

Facilitymedian $3,090 · 10th to 90th $339 to $7,244Professionalmedian $417 · 10th to 90th $245 to $933
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $3,090professional $417

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
$812.83
Median
$4,265.80
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$707.95
Typical High
$1,000.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$537.03
Typical High
$851.14
Medica
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$588.84
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$562.34
Typical High
$2,511.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$691.83
Typical High
$831.76
Midlands
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Midlands
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$602.56
Typical High
$933.25
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$616.60
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$5,754.40
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$831.76
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$851.14

Where Iowa 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 feeIowa $3,507 · 22nd 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.