go back

Genital Reconstruction Surgery

Nebraska 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 Nebraska, July 2026.

Insurers have agreed to pay about $6,918 for this service. The price depends on where it is billed: about $5,888 from a physician practice, and about $8,511 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$5,888$3,548 to $7,762
FacilityA hospital or hospital-owned outpatient department$8,511$7,586 to $13,490

How much rates vary

Facilitymedian $8,511 · 10th to 90th $4,365 to $17,783Professionalmedian $5,888 · 10th to 90th $3,548 to $9,120
$2K$5K$10K$20Kfacility $8,511professional $5,888

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
$6,025.60
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$13,489.63
Typical High
$26,302.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$6,025.60
Typical High
$8,317.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$8,128.31
Typical High
$9,332.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,165.95
Typical High
$37,153.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$7,943.28
Typical High
$28,840.32
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$8,912.51
Typical High
$12,022.64
Midlands
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$6,165.95
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$8,128.31
Typical High
$10,232.93

Where Nebraska 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.

Nebraska· 11th 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.