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Reconstruction Of A Cloacal Birth Defect

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $4,571 for this service. The price depends on where it is billed: about $4,467 from a physician practice, and about $6,918 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$4,467$3,890 to $5,888
FacilityA hospital or hospital-owned outpatient department$6,918$4,571 to $10,233

How much rates vary

Facilitymedian $6,918 · 10th to 90th $3,548 to $11,749Professionalmedian $4,467 · 10th to 90th $3,467 to $8,318
$1K$2K$5K$10K$20Kfacility $6,918professional $4,467

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
$4,466.84
Median
$6,918.31
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,365.16
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$4,897.79
Typical High
$9,549.93
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$5,888.44
Typical High
$8,317.64
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$223.87
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,786.30
Typical High
$9,120.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,786.30
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$4,570.88
Typical High
$8,912.51

Where New Jersey 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.

New Jersey· 28th 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.