go back

Reconstruction Of A Cloacal Birth Defect

Washington, DC rates for HCPCS 46748

Reconstructive surgery for a child born with a cloaca, in which the bowel, the vagina and the urinary tract empty through a single shared opening. The surgeon separates the three passages and rebuilds each with its own outlet, and lengthens the vagina using a segment of intestine or nearby tissue.

Rates data updated July 2026.

How much does Reconstruction Of A Cloacal Birth Defect cost?

$4,571

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $4,571 for this service. Most negotiated rates run $3,981 to $4,898.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,698 to $7,762Professionalmedian $4,571 · 10th to 90th $3,548 to $5,888
$1K$2K$5K$10Kfacility $4,898professional $4,571

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
$1,698.24
Median
$4,897.79
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,570.88
Typical High
$5,011.87
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,466.84
Typical High
$5,623.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,786.30
Typical High
$11,748.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,265.80
Typical High
$9,549.93
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$2,344.23
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,897.79
Typical High
$10,471.29

Where Washington, DC sits

The same service costs 2.3 times more in Minnesota 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.

Washington, DC· 30th of 51

$4,571

MN $9,550VT $4,074

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.