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Tying Off An Internal Hemorrhoid

North Dakota 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?

$941

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

Insurers have agreed to pay about $941 for this procedure. That total is two separate charges: $603 to the doctor who performs it, and $339 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$603$339 to $759
Facility feeThe hospital or surgery center$339$339 to $2,512

How much rates vary

Facilitymedian $339 · 10th to 90th $324 to $8,511Professionalmedian $603 · 10th to 90th $295 to $891
$200.0$500.0$1.0K$2.0K$5.0Kfacility $339professional $603

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
$323.59
Median
$338.84
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$338.84
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$758.58
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$630.96
Typical High
$933.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$467.74
Typical High
$1,000.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$501.19
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,398.83
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$407.38
Typical High
$724.44

Where North Dakota 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 Dakota $941 · 44th 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.