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Reconstruction Of A Cloacal Birth Defect

North Dakota 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?

$7,943

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $7,943 for this service. The price depends on where it is billed: about $8,128 from a physician practice, and about $4,169 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$8,128$4,467 to $9,550
FacilityA hospital or hospital-owned outpatient department$4,169$3,802 to $6,026

How much rates vary

Facilitymedian $4,169 · 10th to 90th $3,802 to $8,511Professionalmedian $8,128 · 10th to 90th $3,802 to $10,715
$1K$2K$5K$10K$20Kfacility $4,169professional $8,128

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
$3,801.89
Median
$4,168.69
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,168.69
Typical High
$10,715.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$9,120.11
Typical High
$10,964.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$7,585.78
Typical High
$11,481.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$5,754.40
Typical High
$8,511.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$31,622.78
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$5,754.40
Typical High
$9,772.37

Where North Dakota 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.

North Dakota· 3rd of 51

$7,943

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.