go back

Reconstruction Of A Cloacal Birth Defect

New York 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?

$5,012

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $5,012 for this service. The price depends on where it is billed: about $5,012 from a physician practice, and about $5,248 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 9 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$5,012$4,074 to $7,244
FacilityA hospital or hospital-owned outpatient department$5,248$3,981 to $7,762

How much rates vary

Facilitymedian $5,248 · 10th to 90th $2,630 to $11,482Professionalmedian $5,012 · 10th to 90th $3,548 to $11,749
$500$1K$2K$5K$10K$20Kfacility $5,248professional $5,012

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
$2,570.40
Median
$5,248.07
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,570.88
Typical High
$7,413.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,073.80
Typical High
$8,128.31
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$37,153.52
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$6,918.31
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$5,754.40
Typical High
$15,488.17
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$5,128.61
Typical High
$15,488.17
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$6,025.60
Typical High
$10,000.00
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$5,495.41
Typical High
$8,709.64
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$5,623.41
Typical High
$10,715.19
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$4,073.80
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$6,918.31
Typical High
$32,359.37
Univera
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$5,011.87
Typical High
$14,454.40
Univera
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$5,011.87
Typical High
$10,471.29

Where New York 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 York· 18th of 51

$5,012

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.