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Tying Off An Internal Hemorrhoid

West 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?

$2,668

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

Insurers have agreed to pay about $2,668 for this procedure. That total is two separate charges: $324 to the doctor who performs it, and $2,344 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$324$245 to $407
Facility feeThe hospital or surgery center$2,344$603 to $2,344

How much rates vary

Facilitymedian $2,344 · 10th to 90th $331 to $2,344Professionalmedian $324 · 10th to 90th $195 to $617
$50.0$200.0$1.0K$5.0Kfacility $2,344professional $324

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
$331.13
Median
$2,344.23
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$331.13
Typical High
$724.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$426.58
CareSource
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$602.56
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$1,698.24
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$11,748.98
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$2,454.71
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$436.52

Where West 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 feeWest Virginia $2,668 · 28th 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.