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Repair Of A Leak From An Internal Bowel Pouch

Illinois rates for HCPCS 46712

Surgery to close an abnormal tunnel or blind track leading out of an internal pouch built from the small bowel after the colon has been removed. Such a tunnel can open onto the skin near the anus or into the vagina, causing leakage and infection. The affected tissue is cleared out and the opening is closed.

Rates data updated October 2026.

How much does Repair Of A Leak From An Internal Bowel Pouch cost?

$2,399

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $2,399 for this service. The price depends on where it is billed: about $2,399 from a physician practice, and about $1,905 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,399$2,344 to $3,388
FacilityA hospital or hospital-owned outpatient department$1,905$724 to $4,266

How much rates vary

Facilitymedian $1,905 · 10th to 90th $525 to $12,589Professionalmedian $2,399 · 10th to 90th $2,042 to $4,365
$100$1K$10Kfacility $1,905professional $2,399

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$2,344.23
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,398.83
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,513.56
Median
$1,659.59
Typical High
$1,659.59
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$26,302.68
Typical High
$52,480.75
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$2,691.53
Median
$3,235.94
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$758.58
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$3,019.95
Typical High
$4,168.69
Hally Health
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$3,467.37
Typical High
$11,748.98
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,884.03
Typical High
$3,235.94
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$309.03
United
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$1,258.93
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,511.89
Typical High
$4,466.84

Where Illinois sits

The same service costs 21.9 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.

Illinois· 34th of 51

$2,399

AK $7,762TX $355

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.