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Genital Reconstruction Surgery

Alaska rates for HCPCS 55970

Reconstructs the genitals as part of gender-affirming care, reshaping and rebuilding the existing tissue to match the person's gender identity. It is major surgery, usually the last step after hormone treatment and a period of living in the affirmed gender, and it is often done in more than one stage. Recovery involves a hospital stay and a long period of careful aftercare.

Rates data updated July 2026.

How much does Genital Reconstruction Surgery cost?

$16,218

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $16,218 for this service. The price depends on where it is billed: about $16,218 from a physician practice, and about $7,586 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$16,218$4,571 to $19,953
FacilityA hospital or hospital-owned outpatient department$7,586$5,012 to $19,953

How much rates vary

Facilitymedian $7,586 · 10th to 90th $4,571 to $28,184Professionalmedian $16,218 · 10th to 90th $4,571 to $20,893
$100$500$2K$10Kfacility $7,586professional $16,218

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$12,022.64
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$19,952.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$5,754.40
Typical High
$12,302.69
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$7,585.78
Typical High
$28,183.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$21,877.62
Providence
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$7,585.78
Typical High
$28,183.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$9,772.37
Typical High
$24,547.09

Where Alaska sits

The same service costs 4.4 times more in Alaska than in North Dakota. 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.

Alaska· 1st of 51

$16,218

AK $16,218ND $3,715

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.