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Reconstruction Of A Cloacal Birth Defect

Indiana 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?

$4,467

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $4,467 for this service. The price depends on where it is billed: about $4,169 from a physician practice, and about $10,233 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 5 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$4,169$3,802 to $5,012
FacilityA hospital or hospital-owned outpatient department$10,233$7,079 to $15,136

How much rates vary

Facilitymedian $10,233 · 10th to 90th $4,467 to $17,783Professionalmedian $4,169 · 10th to 90th $3,162 to $6,166
$1K$2K$5K$10K$20Kfacility $10,233professional $4,169

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
$2,344.23
Median
$4,897.79
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,265.80
Typical High
$6,165.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$12,022.64
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,311.31
Typical High
$5,495.41
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$4,073.80
Typical High
$4,677.35
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$5,623.41
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$5,011.87
Typical High
$8,128.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$6,025.60
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,365.16
Typical High
$7,079.46

Where Indiana 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.

Indiana· 38th of 51

$4,467

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.