go back

Tying Off An Internal Hemorrhoid

Maryland 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?

$1,302

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

Insurers have agreed to pay about $1,302 for this procedure. That total is two separate charges: $347 to the doctor who performs it, and $955 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$347$263 to $407
Facility feeThe hospital or surgery center$955$1.00 to $1,479

How much rates vary

Facilitymedian $955 · 10th to 90th $1 to $2,455Professionalmedian $347 · 10th to 90th $209 to $603
$1.0$10.0$100.0$1.0Kfacility $955professional $347

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
$0.98
Median
$0.98
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$338.84
Typical High
$616.60
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,479.11
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$346.74
Typical High
$616.60
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$407.38
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,096.48
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$331.13
Typical High
$630.96
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$426.58
Typical High
$537.03

Where Maryland 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 feeMaryland $1,302 · 38th 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.