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Reconstruction Of A Cloacal Birth Defect

Michigan 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 Michigan, July 2026.

Insurers have agreed to pay about $4,571 for this service. The price depends on where it is billed: about $4,571 from a physician practice, and about $4,898 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$4,571$3,981 to $5,623
FacilityA hospital or hospital-owned outpatient department$4,898$4,898 to $5,495

How much rates vary

Facilitymedian $4,898 · 10th to 90th $3,631 to $6,918Professionalmedian $4,571 · 10th to 90th $3,802 to $6,026
$500$1K$2K$5K$10Kfacility $4,898professional $4,571

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
$4,897.79
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,466.84
Typical High
$5,754.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$6,025.60
Typical High
$6,025.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$6,025.60
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,011.87
Typical High
$9,772.37
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,897.79
Typical High
$10,964.78
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,570.88
Typical High
$5,888.44
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$5,370.32
Typical High
$16,595.87
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$3,890.45
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,897.79
Typical High
$7,079.46

Where Michigan 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.

Michigan· 29th 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.