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Genital Reconstruction Surgery

Oklahoma 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?

$3,890

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $4,266 from a physician practice, and about $2,630 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 4 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$4,266$3,890 to $4,898
FacilityA hospital or hospital-owned outpatient department$2,630$1,380 to $4,786

How much rates vary

Facilitymedian $2,630 · 10th to 90th $1,000 to $6,918Professionalmedian $4,266 · 10th to 90th $3,388 to $6,166
$500$1K$2K$5K$10K$20Kfacility $2,630professional $4,266

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
$1,000.00
Median
$2,089.30
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,786.30
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$4,168.69
Typical High
$6,165.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$3,548.13
Typical High
$8,709.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,365.16
Typical High
$28,840.32
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,951.21
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$4,265.80
Typical High
$5,888.44

Where Oklahoma 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.

Oklahoma· 49th of 51

$3,890

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.