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Opening Of A Blocking Anal Membrane In A Baby

Nebraska rates for HCPCS 46070

A small operation in a baby that cuts through a thin wall of tissue blocking the anal opening, so stool can pass normally. The membrane is divided and the opening is then checked to make sure it is wide enough. It treats a malformation usually found in the first days of life.

Rates data updated July 2026.

How much does Opening Of A Blocking Anal Membrane In A Baby cost?

$380

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $3,802 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$302$257 to $513
FacilityA hospital or hospital-owned outpatient department$3,802$2,188 to $7,943

How much rates vary

Facilitymedian $3,802 · 10th to 90th $372 to $13,490Professionalmedian $302 · 10th to 90th $240 to $776
$200$500$1K$2K$5K$10K$20Kfacility $3,802professional $302

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
$2,187.76
Median
$6,025.60
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$281.84
Typical High
$776.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,370.32
Typical High
$10,471.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$407.38
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$501.19
Typical High
$794.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$3,715.35
Medica
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$489.78
Typical High
$1,995.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$588.84
Typical High
$851.14
Midlands
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$3,311.31
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$389.05
Typical High
$676.08

Where Nebraska sits

The same service costs 3.5 times more in California than in Vermont. 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.

Nebraska· 13th of 51

$380

CA $851VT $245

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.