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Reconstruction Of A Cloacal Birth Defect

Nevada 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 Nevada, July 2026.

Insurers have agreed to pay about $4,467 for this service. The price depends on where it is billed: about $4,365 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$4,365$3,890 to $5,012
FacilityA hospital or hospital-owned outpatient department$4,571$4,365 to $6,026

How much rates vary

Facilitymedian $4,571 · 10th to 90th $2,239 to $7,762Professionalmedian $4,365 · 10th to 90th $3,467 to $6,457
$50$200$1K$5K$20Kfacility $4,571professional $4,365

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
$2,238.72
Median
$4,570.88
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,168.69
Typical High
$6,165.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$6,025.60
Typical High
$7,762.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,011.87
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$4,570.88
Typical High
$7,244.36
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$3,981.07
Typical High
$5,888.44
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,754.40
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,467.37
Typical High
$3,801.89
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,467.37
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,041.74
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$4,265.80
Typical High
$7,079.46

Where Nevada 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.

Nevada· 37th 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.