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Genital Reconstruction Surgery

Kansas 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?

$4,786

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $4,786 for this service. The price depends on where it is billed: about $4,786 from a physician practice, and about $5,888 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 5 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$4,786$4,266 to $5,248
FacilityA hospital or hospital-owned outpatient department$5,888$3,631 to $7,413

How much rates vary

Facilitymedian $5,888 · 10th to 90th $1,950 to $10,233Professionalmedian $4,786 · 10th to 90th $3,715 to $7,413
$100$500$2K$10Kfacility $5,888professional $4,786

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
$3,162.28
Median
$6,309.57
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,897.79
Typical High
$7,413.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$5,248.07
Typical High
$7,585.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$3,890.45
Typical High
$7,943.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,466.84
Typical High
$28,840.32
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$3,801.89
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,265.80
Typical High
$6,760.83

Where Kansas 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.

Kansas· 31st of 51

$4,786

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.