go back

Tying Off An Internal Hemorrhoid

Nebraska 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?

$4,720

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

Insurers have agreed to pay about $4,720 for this procedure. That total is two separate charges: $355 to the doctor who performs it, and $4,365 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$355$316 to $575
Facility feeThe hospital or surgery center$4,365$2,344 to $7,943

How much rates vary

Facilitymedian $4,365 · 10th to 90th $389 to $13,490Professionalmedian $355 · 10th to 90th $263 to $1,000
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $4,365professional $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
$2,344.23
Median
$6,025.60
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,370.32
Typical High
$10,471.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$524.81
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$616.60
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$478.63
Typical High
$4,073.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$616.60
Typical High
$2,511.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$912.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$630.96
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$3,715.35
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$831.76

Where Nebraska 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 feeNebraska $4,720 · 7th 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.