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Tying Off An Internal Hemorrhoid

North Carolina 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?

$781

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $781 for this procedure. That total is two separate charges: $355 to the doctor who performs it, and $427 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$355$309 to $575
Facility feeThe hospital or surgery center$427$331 to $1,000

How much rates vary

Facilitymedian $427 · 10th to 90th $251 to $5,012Professionalmedian $355 · 10th to 90th $240 to $794
$1.0$10.0$100.0$1.0K$10.0Kfacility $427professional $355

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
$331.13
Median
$1,122.02
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$354.81
Typical High
$676.08
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,445.44
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$371.54
Typical High
$724.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Medcost
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$346.74
Typical High
$562.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$870.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,265.80
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$549.54
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$8,128.31
Typical High
$8,128.31
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,951.21

Where North Carolina 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 feeNorth Carolina $781 · 50th 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.