go back

Tying Off An Internal Hemorrhoid

South 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?

$991

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

Insurers have agreed to pay about $991 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $501 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$490$324 to $708
Facility feeThe hospital or surgery center$501$295 to $851

How much rates vary

Facilitymedian $501 · 10th to 90th $178 to $3,090Professionalmedian $490 · 10th to 90th $295 to $912
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $501professional $490

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
$338.84
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$323.59
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$812.83
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$416.87
Typical High
$794.33
Medica
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$501.19
Typical High
$2,511.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$630.96
Typical High
$724.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$630.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$446.68
Typical High
$870.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$891.25
Typical High
$891.25

Where South 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 feeSouth Dakota $991 · 43rd 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.