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Tying Off An Internal Hemorrhoid

Oklahoma 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?

$4,046

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

Insurers have agreed to pay about $4,046 for this procedure. That total is two separate charges: $331 to the doctor who performs it, and $3,715 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$331$263 to $363
Facility feeThe hospital or surgery center$3,715$1,288 to $5,888

How much rates vary

Facilitymedian $3,715 · 10th to 90th $457 to $8,128Professionalmedian $331 · 10th to 90th $209 to $525
$100.0$1.0K$10.0Kfacility $3,715professional $331

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
$794.33
Median
$1,621.81
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$331.13
Typical High
$489.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,370.32
Typical High
$8,912.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$331.13
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$416.87
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,951.21
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$302.00
Typical High
$467.74

Where Oklahoma 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 feeOklahoma $4,046 · 13th 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.