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Genital Reconstruction Surgery

Colorado 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?

$5,370

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $5,370 for this service. The price depends on where it is billed: about $4,898 from a physician practice, and about $5,888 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$4,898$4,467 to $6,166
FacilityA hospital or hospital-owned outpatient department$5,888$3,890 to $7,943

How much rates vary

Facilitymedian $5,888 · 10th to 90th $3,236 to $10,715Professionalmedian $4,898 · 10th to 90th $4,169 to $7,762
$2K$5K$10Kfacility $5,888professional $4,898

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
$3,235.94
Median
$5,370.32
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$7,762.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$5,128.61
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$5,888.44
Typical High
$7,585.78
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,897.79
Typical High
$8,128.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$6,918.31
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$5,888.44
Typical High
$9,332.54

Where Colorado 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.

Colorado· 21st of 51

$5,370

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.