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Genital Reconstruction Surgery

New Hampshire 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?

$5,754

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $5,754 for this service. The price depends on where it is billed: about $6,026 from a physician practice, and about $1,778 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$6,026$3,311 to $8,913
FacilityA hospital or hospital-owned outpatient department$1,778$1,698 to $4,365

How much rates vary

Facilitymedian $1,778 · 10th to 90th $1,514 to $9,772Professionalmedian $6,026 · 10th to 90th $3,311 to $10,233
$100$200$500$1K$2K$5K$10Kfacility $1,778professional $6,026

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
$100.00
Median
$9,772.37
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$9,772.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,737.80
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$6,165.95
Typical High
$12,022.64
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$6,918.31
Typical High
$11,481.54
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$6,456.54
Typical High
$12,882.50
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,365.16
Typical High
$5,754.40

Where New Hampshire 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.

New Hampshire· 19th of 51

$5,754

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.