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Reconstruction Of A Cloacal Birth Defect

Virginia 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?

$4,786

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $4,786 for this service. The price depends on where it is billed: about $4,786 from a physician practice, and about $5,370 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 8 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$4,786$4,169 to $5,623
FacilityA hospital or hospital-owned outpatient department$5,370$4,266 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $3,548 to $10,000Professionalmedian $4,786 · 10th to 90th $3,715 to $7,244
$1K$2K$5K$10Kfacility $5,370professional $4,786

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
$3,630.78
Median
$5,370.32
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,466.84
Typical High
$5,888.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$8,709.64
Typical High
$12,302.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$5,370.32
Typical High
$8,317.64
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,570.88
Typical High
$6,165.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$4,677.35
Typical High
$7,943.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,466.84
Typical High
$7,413.10
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,128.61
Typical High
$6,456.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$5,248.07
Typical High
$8,128.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$7,413.10
Sentara
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$4,677.35
Typical High
$8,912.51
Sentara
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,677.35
Typical High
$8,912.51
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$3,019.95
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$4,570.88
Typical High
$8,128.31

Where Virginia 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.

Virginia· 24th of 51

$4,786

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.