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Genital Reconstruction Surgery

Arkansas 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 Arkansas, July 2026.

Insurers have agreed to pay about $5,012 for this service. The price depends on where it is billed: about $6,166 from a physician practice, and about $3,981 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$6,166$5,012 to $6,166
FacilityA hospital or hospital-owned outpatient department$3,981$1,820 to $5,248

How much rates vary

Facilitymedian $3,981 · 10th to 90th $1,175 to $6,457Professionalmedian $6,166 · 10th to 90th $3,890 to $6,761
$500$1K$2K$5K$10Kfacility $3,981professional $6,166

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
$1,174.90
Median
$1,819.70
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$6,165.95
Typical High
$6,760.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$6,165.95
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,659.59
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,890.45
Typical High
$7,413.10

Where Arkansas 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.

Arkansas· 25th 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.