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Tying Off An Internal Hemorrhoid

Kentucky 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?

$3,658

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

Insurers have agreed to pay about $3,658 for this procedure. That total is two separate charges: $269 to the doctor who performs it, and $3,388 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$269$209 to $355
Facility feeThe hospital or surgery center$3,388$1,950 to $5,495

How much rates vary

Facilitymedian $3,388 · 10th to 90th $603 to $8,511Professionalmedian $269 · 10th to 90th $182 to $457
$200$500$1K$2K$5K$10Kfacility $3,388professional $269

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
$407.38
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$323.59
Typical High
$602.56
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,630.78
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$213.80
Typical High
$323.59
CareSource
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$354.81
Typical High
$501.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$389.05
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$602.56
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$371.54
Typical High
$1,698.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,754.23
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$562.34

Where Kentucky sits

The same service costs 9.7 times more in Indiana than in North Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Kentucky· 20th of 50

$3,658

$269 physician + $3,388 facility

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.