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Genital Reconstruction Surgery

Connecticut 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?

$6,310

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $6,310 for this service. The price depends on where it is billed: about $6,310 from a physician practice, and about $5,754 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$3,981 to $8,511
FacilityA hospital or hospital-owned outpatient department$5,754$4,365 to $8,511

How much rates vary

Facilitymedian $5,754 · 10th to 90th $4,169 to $10,471Professionalmedian $6,310 · 10th to 90th $3,467 to $10,471
$1K$2K$5K$10Kfacility $5,754professional $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
$4,570.88
Median
$7,079.46
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$7,762.47
Typical High
$10,471.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,168.69
Typical High
$12,022.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,818.38
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$7,413.10
Typical High
$14,125.38
United
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$5,754.40
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,128.61
Typical High
$11,220.18

Where Connecticut 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.

Connecticut· 14th of 51

$6,310

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.