Hemorrhoid Artery Tie-Off With Ultrasound

Nationwide rates for HCPCS 46948

Treats internal hemorrhoids by locating the small arteries that feed them with a Doppler ultrasound probe placed in the anal canal, then stitching those arteries closed so the swollen cushions shrink. Sagging tissue can be stitched back up into place at the same time. Nothing is cut away, so there is no open wound and the recovery is usually less painful than with a cut-out operation.

Rates data updated July 2026.

How much does Hemorrhoid Artery Tie-Off With Ultrasound cost?

$4,536

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $4,536 for this procedure. That total is two separate charges: $646 to the doctor who performs it, and $3,890 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

14% physician fee86% facility fee

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 57 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$646	$490 to $1,047
Facility feeThe hospital or surgery center	The hospital or surgery center	$3,890	$1,514 to $6,761

How much rates vary

Facilitymedian $3,890 · 10th to 90th $575 to $10,233Professionalmedian $646 · 10th to 90th $427 to $2,188

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $691.83 Median $3,715.35 Typical High $10,715.19	Facility	Global	$691.83	$3,715.35	$10,715.19
BCBS Setting Facility Modifier Global Typical Low $2,290.87 Median $5,248.07 Typical High $12,022.64	Facility	Global	$2,290.87	$5,248.07	$12,022.64
Cigna Setting Facility Modifier Global Typical Low $524.81 Median $1,318.26 Typical High $3,630.78	Facility	Global	$524.81	$1,318.26	$3,630.78
United Setting Facility Modifier Global Typical Low $1,047.13 Median $3,890.45 Typical High $9,120.11	Facility	Global	$1,047.13	$3,890.45	$9,120.11

What it costs in each state

The same service costs 5.7 times more in California than in Maryland. 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

Touch or drag across the chart to see any state's rate.

CA $6,425MD $1,118

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.