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Reconstruction Of A Cloacal Birth Defect

Tennessee 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?

$4,365

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $4,571 from a physician practice, and about $2,512 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$4,571$3,981 to $5,754
FacilityA hospital or hospital-owned outpatient department$2,512$1,862 to $4,074

How much rates vary

Facilitymedian $2,512 · 10th to 90th $955 to $7,586Professionalmedian $4,571 · 10th to 90th $3,715 to $7,943
$100$500$2K$10Kfacility $2,512professional $4,571

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
$2,398.83
Median
$3,715.35
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,365.16
Typical High
$6,309.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,290.87
Typical High
$4,365.16
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$6,025.60
Typical High
$9,332.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$512.86
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,248.07
Typical High
$9,120.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$26,302.68
Typical High
$26,302.68
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$33,113.11
Median
$36,307.81
Typical High
$36,307.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$2,290.87
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,677.35
Typical High
$7,943.28

Where Tennessee 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.

Tennessee· 40th of 51

$4,365

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.