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Tying Off An Internal Hemorrhoid

Wyoming 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 October 2026.

How much does Tying Off An Internal Hemorrhoid cost?

$3,975

Typical total for the visit. In Wyoming, October 2026.

Insurers have agreed to pay about $3,975 for this procedure. That total is two separate charges: $955 to the doctor who performs it, and $3,020 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$955$490 to $1,380
Facility feeThe hospital or surgery center$3,020$3,020 to $3,020

How much rates vary

Facilitymedian $3,020 · 10th to 90th $2,455 to $3,548Professionalmedian $955 · 10th to 90th $324 to $1,660
$200$500$1K$2K$5K$10Kfacility $3,020professional $955

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$346.74
Typical High
$489.78
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,380.38
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$3,388.44
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$416.87
Typical High
$707.95
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,630.27
Typical High
$10,471.29
United
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$537.03
Typical High
$977.24

Where Wyoming sits

The same service costs 5.5 times more in Colorado than in Michigan. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Wyoming· 5th of 51

$3,975

$955 physician + $3,020 facility

CO $4,792MI $877

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.