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Surgical Construction Of Male Genitalia

Hawaii rates for HCPCS 55980

A staged surgical reconstruction that builds male external genitalia in a person whose external genitals are female. The work is done over more than one operation and involves reshaping and rearranging the patient's own tissue, sometimes with tissue brought from elsewhere on the body.

Rates data updated July 2026.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $2,512 to $2,818Professionalmedian $3,467 · 10th to 90th $3,467 to $6,761
$5Kfacility $2,818professional $3,467

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$5,623.41
Typical High
$6,918.31