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Reconstruction Of A Cloacal Birth Defect

South Dakota 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?

$6,310

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $6,310 for this service. The price depends on where it is billed: about $6,457 from a physician practice, and about $4,898 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 7 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$6,457$4,169 to $9,120
FacilityA hospital or hospital-owned outpatient department$4,898$4,169 to $7,413

How much rates vary

Facilitymedian $4,898 · 10th to 90th $3,388 to $9,772Professionalmedian $6,457 · 10th to 90th $3,548 to $11,482
$2K$5K$10K$20Kfacility $4,898professional $6,457

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
$4,168.69
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,801.89
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$9,120.11
Typical High
$11,481.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$5,754.40
Typical High
$10,471.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$6,456.54
Typical High
$31,622.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$9,120.11
Median
$9,332.54
Typical High
$9,332.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$6,456.54
Typical High
$8,128.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$6,456.54
Typical High
$10,964.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$8,709.64
Median
$10,000.00
Typical High
$10,000.00

Where South Dakota 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.

South Dakota· 8th of 51

$6,310

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.