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Ligation Of Multiple Hemorrhoids

South Dakota rates for HCPCS 46946

This procedure treats hemorrhoids by tying off the blood supply to more than one hemorrhoid cluster inside the lower rectum and anus, causing the tissue to shrink and eventually fall away. It is performed using suture or similar ligation rather than the simpler rubber-band technique, and addresses several affected areas in one session.

Rates data updated July 2026.

How much does Ligation Of Multiple Hemorrhoids cost?

$1,609

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

Insurers have agreed to pay about $1,609 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $1,072 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$537$363 to $891
Facility feeThe hospital or surgery center$1,072$468 to $4,074

How much rates vary

Facilitymedian $1,072 · 10th to 90th $282 to $4,074Professionalmedian $537 · 10th to 90th $288 to $1,072
$200$500$1K$2K$5Kfacility $1,072professional $537

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
$3,090.30
Median
$4,073.80
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$891.25
Typical High
$1,122.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$467.74
Typical High
$870.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$537.03
Typical High
$2,818.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$741.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$645.65
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$537.03
Typical High
$741.31
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
$257.04
Median
$446.68
Typical High
$891.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$977.24
Typical High
$977.24

Where South Dakota sits

The same service costs 9.6 times more in West Virginia than in North Dakota. 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

South Dakota· 39th of 50

$1,609

$537 physician + $1,072 facility

WV $7,616ND $797

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.