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Tying Off An Internal Hemorrhoid

Missouri 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?

$2,527

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

Insurers have agreed to pay about $2,527 for this procedure. That total is two separate charges: $339 to the doctor who performs it, and $2,188 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$263 to $417
Facility feeThe hospital or surgery center$2,188$1,096 to $3,467

How much rates vary

Facilitymedian $2,188 · 10th to 90th $363 to $5,248Professionalmedian $339 · 10th to 90th $224 to $661
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,188professional $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
$1,096.48
Median
$3,162.28
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$1,000.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$275.42
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$407.38
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,691.53
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$354.81
Typical High
$616.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$416.87
Typical High
$2,691.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$467.74
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,454.71
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$645.65

Where Missouri 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 feeMissouri $2,527 · 31st 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.