go back

Genital Reconstruction Surgery

Iowa 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?

$6,457

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $6,457 for this service. The price depends on where it is billed: about $6,457 from a physician practice, and about $6,761 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$6,457$4,074 to $7,586
FacilityA hospital or hospital-owned outpatient department$6,761$5,888 to $8,913

How much rates vary

Facilitymedian $6,761 · 10th to 90th $4,266 to $13,490Professionalmedian $6,457 · 10th to 90th $3,548 to $10,000
$1K$2K$5K$10K$20Kfacility $6,761professional $6,457

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
$5,011.87
Median
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$6,456.54
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$6,606.93
Typical High
$8,128.31
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$4,168.69
Typical High
$7,413.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$7,762.47
Typical High
$15,135.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$7,244.36
Typical High
$13,489.63
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$8,709.64
Typical High
$9,549.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$10,000.00
Typical High
$12,022.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$7,585.78
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$6,165.95
Typical High
$12,022.64
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,801.89
Typical High
$3,801.89

Where Iowa 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.

Iowa· 13th of 51

$6,457

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.