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Small Intestine Surgery for a Birth Defect

Ohio 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?

$2,692

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $2,692 for this service. The price depends on where it is billed: about $2,570 from a physician practice, and about $7,586 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 8 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$2,570$2,291 to $3,090
FacilityA hospital or hospital-owned outpatient department$7,586$3,388 to $10,715

How much rates vary

Facilitymedian $7,586 · 10th to 90th $2,399 to $12,589Professionalmedian $2,570 · 10th to 90th $2,089 to $3,890
$50$200$1K$5K$20Kfacility $7,586professional $2,570

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
$2,691.53
Median
$8,317.64
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,570.40
Typical High
$3,630.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$6,456.54
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,454.71
Typical High
$3,890.45
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,398.83
Typical High
$3,090.30
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$4,073.80
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$3,162.28
Typical High
$5,370.32
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$4,168.69
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$3,162.28
Typical High
$5,128.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,754.23
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,884.03
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,691.53
Typical High
$4,677.35

Where Ohio 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.

Ohio· 40th of 51

$2,692

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.