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Repair Of High Imperforate Anus, Combined

North Carolina rates for HCPCS 46735

Reconstructive surgery for a child born without a normal anal opening, where the end of the bowel sits high up in the pelvis. The surgeon works through both the abdomen and the area below and behind the anus to bring the bowel down and create an opening in the correct place within the muscles that control bowel movements. It is a major operation usually carried out in infancy, often after a temporary opening on the abdomen has been made first.

Rates data updated July 2026.

How much does Repair Of High Imperforate Anus, Combined cost?

$3,020

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $3,020 for this service. The price depends on where it is billed: about $3,020 from a physician practice, and about $2,692 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 7 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$3,020$2,455 to $4,266
FacilityA hospital or hospital-owned outpatient department$2,692$2,239 to $3,631

How much rates vary

Facilitymedian $2,692 · 10th to 90th $1,905 to $6,457Professionalmedian $3,020 · 10th to 90th $2,138 to $6,166
$500$1K$2K$5K$10Kfacility $2,692professional $3,020

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
$1,659.59
Median
$5,248.07
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,398.83
Typical High
$4,466.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,019.95
Typical High
$6,309.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,951.21
Typical High
$5,370.32
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,691.53
Typical High
$4,265.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$6,025.60
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$2,041.74
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,344.23
Typical High
$4,265.80
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$14,125.38
Typical High
$14,125.38
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$19,952.62

Where North 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.

North Carolina· 14th of 51

$3,020

MN $5,129KY $2,239

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.