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Small Intestine Surgery for a Birth Defect

California rates for HCPCS 44126

A surgery, usually performed in a newborn or infant, that removes a segment of small intestine that failed to properly form a passageway during development and reconnects the healthy ends together. This version treats a single affected area and does not include narrowing the wider segment of bowel above the defect to help it function better. It is used to restore a continuous, working intestinal passage in infants born with this type of intestinal blockage.

Rates data updated July 2026.

How much does Small Intestine Surgery for a Birth Defect cost?

$4,571

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $4,571 for this service. The price depends on where it is billed: about $2,692 from a physician practice, and about $10,000 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 13 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,692$2,344 to $4,074
FacilityA hospital or hospital-owned outpatient department$10,000$6,918 to $14,125

How much rates vary

Facilitymedian $10,000 · 10th to 90th $2,951 to $18,197Professionalmedian $2,692 · 10th to 90th $2,042 to $7,586
$100$500$2K$10Kfacility $10,000professional $2,692

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
$3,715.35
Median
$10,000.00
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,691.53
Typical High
$8,709.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$11,220.18
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,951.21
Typical High
$5,754.40
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$5,011.87
Typical High
$10,232.93
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,951.21
Typical High
$5,754.40
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,398.83
Typical High
$3,311.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,511.89
Typical High
$6,456.54
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$15,135.61
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$17,378.01
Median
$21,379.62
Typical High
$21,379.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,951.21
Typical High
$4,786.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,951.21
Typical High
$6,309.57
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,238.72
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$5,623.41
Typical High
$17,378.01
United
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,630.27
Typical High
$5,248.07

Where California sits

The same service costs 2.3 times more in Minnesota than in Kentucky. 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.

California· 3rd of 51

$4,571

MN $5,623KY $2,455

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.