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Repair Of High Imperforate Anus With Fistula

Iowa rates for HCPCS 46740

Creates a proper anal opening in a child born without one, in cases where the bowel ends high in the pelvis and drains instead through an abnormal channel into the urinary tract or the vagina. The surgeon closes that abnormal connection and brings the bowel down to the correct position through an incision between the buttocks. It is major reconstructive surgery and is often one stage of a planned series.

Rates data updated July 2026.

How much does Repair Of High Imperforate Anus With Fistula cost?

$3,236

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $3,236 for this service. The price depends on where it is billed: about $2,951 from a physician practice, and about $4,786 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$2,951$2,188 to $4,571
FacilityA hospital or hospital-owned outpatient department$4,786$3,090 to $6,457

How much rates vary

Facilitymedian $4,786 · 10th to 90th $2,089 to $7,943Professionalmedian $2,951 · 10th to 90th $1,862 to $7,586
$500$1K$2K$5K$10K$20Kfacility $4,786professional $2,951

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
$3,548.13
Median
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,818.38
Typical High
$11,481.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$4,786.30
Typical High
$6,025.60
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$4,168.69
Typical High
$7,943.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,548.13
Typical High
$5,888.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,981.07
Typical High
$15,848.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,786.30
Typical High
$6,025.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$4,073.80
Typical High
$6,025.60
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,897.79
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,019.95
Typical High
$5,754.40
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,570.88
Typical High
$5,128.61

Where Iowa 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.

Iowa· 10th of 51

$3,236

MN $4,898KY $2,089

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.