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Genital Reconstruction Surgery

Minnesota 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?

$6,918

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $6,918 for this service. The price depends on where it is billed: about $6,607 from a physician practice, and about $9,772 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 6 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$6,607$4,677 to $9,333
FacilityA hospital or hospital-owned outpatient department$9,772$7,943 to $18,197

How much rates vary

Facilitymedian $9,772 · 10th to 90th $3,548 to $21,878Professionalmedian $6,607 · 10th to 90th $2,692 to $11,482
$2K$5K$10K$20Kfacility $9,772professional $6,607

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
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,248.07
Typical High
$9,772.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$12,302.69
Typical High
$35,481.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,454.71
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,000.00
Typical High
$27,542.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$8,912.51
Typical High
$13,489.63
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$10,964.78
Typical High
$21,877.62
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$7,413.10
Typical High
$11,220.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,025.60
Typical High
$12,022.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$7,413.10
Typical High
$14,791.08
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,715.35
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,754.40
Typical High
$13,489.63

Where Minnesota 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.

Minnesota· 10th of 51

$6,918

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.