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Reconstruction Of A Cloacal Birth Defect

New Mexico 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?

$4,467

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $4,467 for this service. The price depends on where it is billed: about $4,467 from a physician practice, and about $5,012 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$3,981 to $5,495
FacilityA hospital or hospital-owned outpatient department$5,012$4,169 to $6,457

How much rates vary

Facilitymedian $5,012 · 10th to 90th $3,631 to $8,710Professionalmedian $4,467 · 10th to 90th $3,467 to $6,761
$50$200$1K$5K$20Kfacility $5,012professional $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
$2,089.30
Median
$6,309.57
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,168.69
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,495.41
Typical High
$8,128.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$6,165.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$5,011.87
Typical High
$8,709.64
Providence
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,623.41
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$4,365.16
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$5,370.32
Typical High
$8,912.51

Where New Mexico 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 Mexico· 36th of 51

$4,467

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.