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Genital Reconstruction Surgery

Oregon 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?

$7,943

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $7,943 for this service. The price depends on where it is billed: about $7,079 from a physician practice, and about $7,943 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 8 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$7,079$5,495 to $9,772
FacilityA hospital or hospital-owned outpatient department$7,943$6,607 to $7,943

How much rates vary

Facilitymedian $7,943 · 10th to 90th $4,786 to $8,511Professionalmedian $7,079 · 10th to 90th $389 to $10,471
$100$500$2K$10Kfacility $7,943professional $7,079

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
$7,943.28
Median
$7,943.28
Typical High
$19,952.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$5,495.41
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$8,128.31
Typical High
$10,471.29
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$7,943.28
Typical High
$10,232.93
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$5,495.41
Typical High
$8,709.64
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$7,943.28
Typical High
$7,943.28
Providence
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$5,495.41
Typical High
$9,332.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$4,073.80
Typical High
$10,715.19
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$16,218.10
Typical High
$19,952.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$7,585.78
Median
$9,549.93
Typical High
$11,748.98
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$10,715.19
Typical High
$31,622.78
United
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$7,244.36
Typical High
$11,220.18

Where Oregon 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.

Oregon· 7th of 51

$7,943

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.