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Tying Off An Internal Hemorrhoid

Michigan 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?

$4,413

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

Insurers have agreed to pay about $4,413 for this procedure. That total is two separate charges: $339 to the doctor who performs it, and $4,074 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$339$309 to $427
Facility feeThe hospital or surgery center$4,074$2,692 to $5,888

How much rates vary

Facilitymedian $4,074 · 10th to 90th $447 to $5,888Professionalmedian $339 · 10th to 90th $229 to $537
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $4,074professional $339

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
$446.68
Median
$4,897.79
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$331.13
Typical High
$457.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$537.03
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$707.95
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$870.96
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$354.81
Typical High
$562.34
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$371.54
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$4,466.84
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$524.81

Where Michigan 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 feeMichigan $4,413 · 9th 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.