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Texas rates for HCPCS 55970

Intersex surgery; male to female

Facilitymedian $4,266 · 10th–90th $1,096$12,5890%10%10th90th$4,266Professionalmedian $4,467 · 10th–90th $3,548$14,1250%20%10th90th$4,467$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,168.69 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $6,918.31 / $12,302.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $14,125.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,677.35 / $7,413.10
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $12,589.25 / $23,988.33
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29,512.09 / $33,884.42 / $33,884.42
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $4,570.88 / $9,772.37
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,265.80 / $6,918.31
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,128.61 / $9,772.37
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $4,786.30 / $7,585.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $2,951.21 / $10,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $4,265.80 / $6,606.93
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $3,801.89