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Opening Of A Blocking Anal Membrane In A Baby

Vermont 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 October 2026.

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

$372

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $372 for this service. Most negotiated rates run $316 to $468.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,259 · 10th to 90th $468 to $3,162Professionalmedian $372 · 10th to 90th $245 to $525
$500$1K$2Kfacility $1,259professional $372

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$245.47
Typical High
$363.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$467.74
Typical High
$467.74
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$338.84
Typical High
$676.08
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$371.54
Typical High
$562.34

Where Vermont sits

The same service costs 5.2 times more in Alaska than in Texas. 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.

Vermont· 19th of 51

$372

AK $1,122TX $214

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.