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Repair Of A Cloacal Anomaly

South Dakota 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?

$5,370

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $5,370 for this service. The price depends on where it is billed: about $5,495 from a physician practice, and about $4,365 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$5,495$3,548 to $7,762
FacilityA hospital or hospital-owned outpatient department$4,365$3,467 to $6,310

How much rates vary

Facilitymedian $4,365 · 10th to 90th $2,884 to $9,120Professionalmedian $5,495 · 10th to 90th $3,090 to $9,550
$2K$5K$10K$20Kfacility $4,365professional $5,495

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
$3,467.37
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,162.28
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$7,762.47
Typical High
$9,549.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$4,677.35
Typical High
$9,120.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$5,370.32
Typical High
$25,703.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$7,079.46
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,754.40
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$5,370.32
Typical High
$9,120.11
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$8,511.38
Typical High
$8,511.38

Where South Dakota 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.

South Dakota· 7th of 51

$5,370

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.