How Much Does Ligation of Hemorrhoid(s) Cost?
Also known as: Ligation of hemorrhoid(s) (CPT 46221)
Treatment of hemorrhoids using rubber band ligation (placing small rubber bands around hemorrhoids to cut off blood flow).
The total estimated cost of Ligation of Hemorrhoid(s) (CPT 46221) is $662 to $1,241, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $197.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Patient Guide: Ligation of Hemorrhoid(s)
What you need to know before your appointment
What to Expect
During an office visit or colonoscopy, the doctor places a tiny rubber band at the base of each internal hemorrhoid. This cuts off blood flow, causing the hemorrhoid to shrink and fall off in 1-2 weeks.
How Long Does It Take?
5-10 minutes
Common Reasons Doctors Order This
Internal hemorrhoids causing bleeding, prolapsing hemorrhoids, hemorrhoids not responding to conservative treatment
How to Prepare
An enema may be needed before. You may feel pressure or cramping briefly. Avoid straining after the procedure. Eat high-fiber foods and drink plenty of water.
Procedures Commonly Done Together
These procedures are frequently performed alongside Ligation of hemorrhoid(s)
How to Reduce Your Cost for Ligation of hemorrhoid(s)
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
For this procedure, the office rate ($326) differs from the facility rate ($197). Ask if it can be done in an office setting.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (9.75) x CF ($33.40) = $326
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Ligation of hemorrhoid(s) cost?
The Medicare facility rate for Ligation of hemorrhoid(s) is $197. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Ligation of hemorrhoid(s) cost without insurance?
Without insurance, the cost of Ligation of hemorrhoid(s) can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Ligation of hemorrhoid(s)?
Most commercial health insurance plans and Medicare cover Ligation of hemorrhoid(s) when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.