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Genital Reconstruction Surgery

Idaho 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?

$5,495

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $5,495 for this service. The price depends on where it is billed: about $5,495 from a physician practice, and about $7,586 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 8 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$5,495$5,129 to $7,586
FacilityA hospital or hospital-owned outpatient department$7,586$4,786 to $11,220

How much rates vary

Facilitymedian $7,586 · 10th to 90th $4,365 to $16,218Professionalmedian $5,495 · 10th to 90th $4,074 to $7,586
$500$1K$2K$5K$10K$20Kfacility $7,586professional $5,495

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
$4,466.84
Median
$4,466.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$5,495.41
Typical High
$7,585.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$7,762.47
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$6,456.54
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$5,623.41
Typical High
$6,918.31
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$6,760.83
Typical High
$9,772.37
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$11,220.18
Typical High
$16,218.10
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$6,309.57
Typical High
$6,606.93
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,025.60
Typical High
$12,589.25
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$15,488.17
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,897.79
Typical High
$7,585.78

Where Idaho 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.

Idaho· 20th of 51

$5,495

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.