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Reconstruction Of A Cloacal Birth Defect

Massachusetts 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?

$4,786

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $4,786 for this service. The price depends on where it is billed: about $4,898 from a physician practice, and about $3,715 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$4,898$4,169 to $8,128
FacilityA hospital or hospital-owned outpatient department$3,715$2,818 to $5,129

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,000 to $7,413Professionalmedian $4,898 · 10th to 90th $3,802 to $10,965
$100$500$2K$10Kfacility $3,715professional $4,898

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
$2,691.53
Median
$3,715.35
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,365.16
Typical High
$10,715.19
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,754.23
Typical High
$26,302.68
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,888.44
Typical High
$33,113.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$741.31
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$5,495.41
Typical High
$10,715.19
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$5,011.87
Typical High
$7,762.47
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,128.61
Typical High
$7,762.47
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$2,511.89
Typical High
$4,677.35
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$6,918.31
Typical High
$10,471.29
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,754.23
Typical High
$26,302.68
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,888.44
Typical High
$33,113.11
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,754.23
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$6,918.31
Typical High
$12,302.69

Where Massachusetts 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.

Massachusetts· 23rd of 51

$4,786

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.