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Hemorrhoid Artery Tie-Off With Ultrasound

Washington 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?

$1,148

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $1,148 for this service. Most negotiated rates run $776 to $6,166.

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.

How much rates vary

Facilitymedian $1,148 · 10th to 90th $589 to $10,715
$500$1K$2K$5K$10K$20Kfacility $1,148

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
$691.83
Median
$6,025.60
Typical High
$18,620.87
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$8,709.64
Typical High
$15,488.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$870.96
Typical High
$3,981.07
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$954.99
Typical High
$3,715.35
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$870.96
Typical High
$870.96
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$616.60
Typical High
$1,995.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$8,317.64
Typical High
$15,135.61
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$8,128.31
Typical High
$15,488.17

Where Washington sits

The same service costs 20.0 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.

Washington· 39th of 50

$1,148

WV $8,710ND $437

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.