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Reconstruction Of A Cloacal Birth Defect

Illinois 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 negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $4,571 for this service. The price depends on where it is billed: about $4,677 from a physician practice, and about $4,571 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$4,677$4,074 to $6,918
FacilityA hospital or hospital-owned outpatient department$4,571$1,862 to $7,762

How much rates vary

Facilitymedian $4,571 · 10th to 90th $1,148 to $9,772Professionalmedian $4,677 · 10th to 90th $3,715 to $9,772
$500$1K$2K$5K$10K$20K$50Kfacility $4,571professional $4,677

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
$4,570.88
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,570.88
Typical High
$7,943.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$50,118.72
Typical High
$95,499.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$6,165.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$5,370.32
Typical High
$9,120.11
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$7,585.78
Typical High
$17,782.79
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
$4,786.30
Median
$5,495.41
Typical High
$6,165.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$5,888.44
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
$3,801.89
Median
$5,128.61
Typical High
$9,120.11

Where Illinois 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.

Illinois· 32nd 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.