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Repair Of A Cloacal Anomaly

Illinois rates for HCPCS 46744

Reconstructive surgery for a child born with a cloacal anomaly, in which the bowel, the vagina and the urinary channel all drain through a single opening. The surgeon separates the three passages and rebuilds each one with its own correctly placed opening. It is a major operation of early childhood, usually done after a temporary opening on the abdomen has been made to divert stool while healing.

Rates data updated July 2026.

How much does Repair Of A Cloacal Anomaly cost?

$3,981

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $3,981 for this service. The price depends on where it is billed: about $3,981 from a physician practice, and about $3,802 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$3,981$3,467 to $5,754
FacilityA hospital or hospital-owned outpatient department$3,802$1,862 to $6,761

How much rates vary

Facilitymedian $3,802 · 10th to 90th $1,148 to $9,772Professionalmedian $3,981 · 10th to 90th $3,162 to $8,128
$500$1K$2K$5K$10K$20K$50Kfacility $3,802professional $3,981

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
$1,148.15
Median
$3,801.89
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,801.89
Typical High
$6,760.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$41,686.94
Typical High
$79,432.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$5,128.61
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$4,570.88
Typical High
$7,762.47
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$6,309.57
Typical High
$15,848.93
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,570.88
Typical High
$5,128.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,951.21
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,365.16
Typical High
$7,585.78

Where Illinois 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.

Illinois· 28th of 51

$3,981

MN $7,943KY $3,388

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.