go back

Genital Reconstruction Surgery

Washington, DC 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?

$4,677

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $4,677 for this service. Most negotiated rates run $4,074 to $4,677.

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.

How much rates vary

Facilitymedian $4,677 · 10th to 90th $1,698 to $7,762Professionalmedian $4,677 · 10th to 90th $3,802 to $8,128
$1K$2K$5K$10K$20Kfacility $4,677professional $4,677

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
$1,698.24
Median
$4,677.35
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,677.35
Typical High
$4,677.35
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$8,128.31
Typical High
$19,952.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,128.61
Typical High
$13,489.63
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,265.80
Typical High
$8,912.51
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$6,309.57
Typical High
$26,915.35
United
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,677.35
Typical High
$11,481.54

Where Washington, DC 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.

Washington, DC· 33rd of 51

$4,677

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.