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Reconstruction Of A Cloacal Birth Defect

Nebraska 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?

$5,370

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $5,370 for this service. The price depends on where it is billed: about $4,571 from a physician practice, and about $7,943 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 $7,586
FacilityA hospital or hospital-owned outpatient department$7,943$5,754 to $12,589

How much rates vary

Facilitymedian $7,943 · 10th to 90th $3,890 to $14,454Professionalmedian $4,571 · 10th to 90th $3,715 to $12,023
$2K$5K$10K$20Kfacility $7,943professional $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
$6,025.60
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,466.84
Typical High
$12,022.64
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$7,244.36
Typical High
$14,125.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$6,025.60
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$7,762.47
Typical High
$12,302.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,754.40
Typical High
$8,511.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$7,762.47
Typical High
$31,622.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7,762.47
Median
$9,332.54
Typical High
$13,182.57
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$7,943.28
Typical High
$13,182.57
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$6,606.93
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$6,456.54
Typical High
$10,232.93

Where Nebraska 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.

Nebraska· 15th of 51

$5,370

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.