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Tying Off An Internal Hemorrhoid

Montana 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?

$876

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

Insurers have agreed to pay about $876 for this procedure. That total is two separate charges: $363 to the doctor who performs it, and $513 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$363$282 to $537
Facility feeThe hospital or surgery center$513$372 to $603

How much rates vary

Facilitymedian $513 · 10th to 90th $282 to $708Professionalmedian $363 · 10th to 90th $209 to $692
$100.0$1.0K$10.0K$100.0Kfacility $513professional $363

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
Professional
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$398.11
Typical High
$812.83
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$588.84
Typical High
$660.69
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$588.84
Typical High
$660.69
Providence
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$389.05
Typical High
$691.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$489.78
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$467.74
Typical High
$691.83

Where Montana 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 feeMontana $876 · 46th 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.