go back

Reconstruction Of A Cloacal Birth Defect

Iowa 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?

$6,026

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $6,026 for this service. The price depends on where it is billed: about $5,754 from a physician practice, and about $6,761 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$5,754$4,365 to $8,511
FacilityA hospital or hospital-owned outpatient department$6,761$5,012 to $7,943

How much rates vary

Facilitymedian $6,761 · 10th to 90th $3,715 to $10,471Professionalmedian $5,754 · 10th to 90th $3,715 to $15,136
$500$1K$2K$5K$10K$20Kfacility $6,761professional $5,754

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
$5,011.87
Median
$6,760.83
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,370.32
Typical High
$21,877.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$9,120.11
Typical High
$11,481.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$8,317.64
Typical High
$13,803.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,606.93
Typical High
$10,471.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$7,762.47
Typical High
$31,622.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,760.83
Median
$9,332.54
Typical High
$11,481.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$7,943.28
Typical High
$11,481.54
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
$4,168.69
Median
$5,888.44
Typical High
$11,220.18
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$8,709.64
Typical High
$9,549.93

Where Iowa 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.

Iowa· 9th of 51

$6,026

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.