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Small Intestine Surgery for a Birth Defect

South Carolina 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?

$2,818

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $2,818 for this service. The price depends on where it is billed: about $2,754 from a physician practice, and about $3,388 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 6 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$2,754$2,399 to $3,162
FacilityA hospital or hospital-owned outpatient department$3,388$2,818 to $5,495

How much rates vary

Facilitymedian $3,388 · 10th to 90th $2,399 to $16,596Professionalmedian $2,754 · 10th to 90th $2,188 to $4,169
$50$200$1K$5K$20Kfacility $3,388professional $2,754

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
$2,884.03
Median
$9,120.11
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,754.23
Typical High
$3,890.45
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,398.83
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$562.34
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,019.95
Typical High
$5,754.40
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,818.38
Typical High
$3,548.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,090.30
Typical High
$4,897.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$6,025.60
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,691.53
Typical High
$4,570.88

Where South Carolina 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.

South Carolina· 29th of 51

$2,818

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.