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Repair Of Low Anal Opening In An Infant

Kentucky rates for HCPCS 46715

An operation in a baby born with the anal opening missing from its normal place, where the bowel ends low down and drains through a narrow channel just in front of where the anus should be. The surgeon opens that narrow channel out to a normal size so stool can pass freely. It is done in early infancy through the skin around the anus, without opening the abdomen.

Rates data updated July 2026.

How much does Repair Of Low Anal Opening In An Infant cost?

$550

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $4,677 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$537$468 to $661
FacilityA hospital or hospital-owned outpatient department$4,677$759 to $8,511

How much rates vary

Facilitymedian $4,677 · 10th to 90th $575 to $11,220Professionalmedian $537 · 10th to 90th $457 to $776
$50$200$1K$5K$20Kfacility $4,677professional $537

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
$575.44
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$549.54
Typical High
$741.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$691.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$588.84
Typical High
$831.76
CareSource
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$954.99
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$2,818.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$4,168.69
Typical High
$28,183.83
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$1,000.00

Where Kentucky sits

The same service costs 2.8 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.

Kentucky· 50th of 51

$550

CA $1,445VT $525

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.