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Genital Reconstruction Surgery

Florida 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?

$6,166

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $6,166 for this service. The price depends on where it is billed: about $5,248 from a physician practice, and about $7,943 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 7 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$5,248$3,981 to $6,166
FacilityA hospital or hospital-owned outpatient department$7,943$3,388 to $12,023

How much rates vary

Facilitymedian $7,943 · 10th to 90th $1,230 to $16,982Professionalmedian $5,248 · 10th to 90th $3,467 to $9,772
$100$500$2K$10Kfacility $7,943professional $5,248

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
$1,148.15
Median
$6,165.95
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$6,165.95
Typical High
$9,772.37
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$5,248.07
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$4,677.35
Typical High
$7,943.28
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,019.95
Typical High
$3,890.45
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$5,248.07
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$4,677.35
Typical High
$8,128.31
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,801.89

Where Florida 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.

Florida· 15th of 51

$6,166

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.