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Genital Reconstruction Surgery

Alabama 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?

$5,012

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $5,012 for this service. The price depends on where it is billed: about $6,310 from a physician practice, and about $4,365 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 4 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$6,310$4,074 to $6,310
FacilityA hospital or hospital-owned outpatient department$4,365$1,585 to $5,495

How much rates vary

Facilitymedian $4,365 · 10th to 90th $955 to $6,607Professionalmedian $6,310 · 10th to 90th $3,715 to $7,413
$500$1K$2K$5K$10Kfacility $4,365professional $6,310

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
$954.99
Median
$1,258.93
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$6,309.57
Typical High
$7,413.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$5,248.07
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$3,630.78
Typical High
$6,309.57
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$2,041.74
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,890.45
Typical High
$6,025.60

Where Alabama 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.

Alabama· 28th of 51

$5,012

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.