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Tying Off An Internal Hemorrhoid

Massachusetts 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?

$3,090

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

Insurers have agreed to pay about $3,090 for this procedure. That total is two separate charges: $398 to the doctor who performs it, and $2,692 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$398$316 to $661
Facility feeThe hospital or surgery center$2,692$741 to $3,388

How much rates vary

Facilitymedian $2,692 · 10th to 90th $324 to $5,129Professionalmedian $398 · 10th to 90th $224 to $933
$100.0$1.0K$10.0Kfacility $2,692professional $398

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
$323.59
Median
$2,754.23
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$331.13
Typical High
$588.84
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,454.71
Typical High
$8,128.31
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$457.09
Typical High
$2,511.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$707.95
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$741.31
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$436.52
Typical High
$851.14
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$467.74
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$691.83
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$3,801.89
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$616.60
Typical High
$977.24
Health New England
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,454.71
Typical High
$8,128.31
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$457.09
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$3,890.45
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$501.19
Typical High
$1,071.52

Where Massachusetts 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 feeMassachusetts $3,090 · 23rd 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.