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Reconstruction Of A Cloacal Birth Defect

Missouri 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 Missouri, 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 $4,571 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$4,571$3,981 to $5,754
FacilityA hospital or hospital-owned outpatient department$4,571$3,090 to $6,026

How much rates vary

Facilitymedian $4,571 · 10th to 90th $2,138 to $8,511Professionalmedian $4,571 · 10th to 90th $3,631 to $8,511
$1K$2K$5K$10K$20Kfacility $4,571professional $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
$1,778.28
Median
$4,265.80
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,570.88
Typical High
$7,079.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,677.35
Typical High
$8,912.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,677.35
Typical High
$7,943.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,786.30
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$5,011.87
Typical High
$8,128.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$5,011.87
Typical High
$10,471.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$6,025.60
Typical High
$31,622.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,884.03
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$5,128.61
Typical High
$8,709.64

Where Missouri 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.

Missouri· 31st 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.