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Reconstruction Of A Cloacal Birth Defect

Kentucky 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?

$4,074

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $4,074 for this service. The price depends on where it is billed: about $3,981 from a physician practice, and about $6,918 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$3,981$3,311 to $4,786
FacilityA hospital or hospital-owned outpatient department$6,918$4,467 to $8,511

How much rates vary

Facilitymedian $6,918 · 10th to 90th $851 to $11,220Professionalmedian $3,981 · 10th to 90th $3,090 to $5,623
$100$1K$10Kfacility $6,918professional $3,981

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
$851.14
Median
$5,248.07
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,168.69
Typical High
$5,495.41
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,235.94
Typical High
$5,128.61
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,466.84
Typical High
$6,309.57
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,897.79
Typical High
$6,309.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$6,918.31
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$5,623.41
Typical High
$33,113.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$4,466.84
Typical High
$28,183.83
United
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,677.35
Typical High
$7,585.78

Where Kentucky 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.

Kentucky· 50th of 51

$4,074

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.