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Genital Reconstruction Surgery

Nevada 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?

$4,074

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $4,074 for this service. The price depends on where it is billed: about $4,074 from a physician practice, and about $4,074 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$4,074$4,074 to $5,495
FacilityA hospital or hospital-owned outpatient department$4,074$3,890 to $5,129

How much rates vary

Facilitymedian $4,074 · 10th to 90th $2,239 to $7,244Professionalmedian $4,074 · 10th to 90th $3,981 to $5,754
$50$200$1K$5Kfacility $4,074professional $4,074

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
$2,238.72
Median
$4,073.80
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,073.80
Typical High
$5,495.41
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,073.80
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$5,370.32
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,897.79
Typical High
$6,918.31
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,187.76
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$4,466.84
Typical High
$6,760.83

Where Nevada 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.

Nevada· 47th of 51

$4,074

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.