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Tying Off An Internal Hemorrhoid

Virginia 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?

$801

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

Insurers have agreed to pay about $801 for this procedure. That total is two separate charges: $355 to the doctor who performs it, and $447 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$282 to $437
Facility feeThe hospital or surgery center$447$316 to $3,548

How much rates vary

Facilitymedian $447 · 10th to 90th $229 to $7,079Professionalmedian $355 · 10th to 90th $229 to $617
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $447professional $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
$323.59
Median
$3,235.94
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$602.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$426.58
Typical High
$660.69
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$407.38
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,288.25
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$331.13
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$416.87
Typical High
$724.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$457.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$363.08
Typical High
$588.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$489.78
Sentara
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$331.13
Typical High
$1,621.81
Sentara
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$5,495.41
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$316.23
Typical High
$575.44

Where Virginia 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 feeVirginia $801 · 49th 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.