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Surgical Construction Of Male Genitalia

North Carolina 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 does Surgical Construction Of Male Genitalia cost?

$4,571

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $4,571 for this service. The price depends on where it is billed: about $4,677 from a physician practice, and about $4,169 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 6 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$4,677$3,981 to $6,761
FacilityA hospital or hospital-owned outpatient department$4,169$3,981 to $6,761

How much rates vary

Facilitymedian $4,169 · 10th to 90th $1,660 to $8,710Professionalmedian $4,677 · 10th to 90th $3,890 to $10,233
$500$1K$2K$5K$10K$20Kfacility $4,169professional $4,677

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
$1,288.25
Median
$3,981.07
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,981.07
Typical High
$5,370.32
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$7,413.10
Typical High
$11,220.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$6,165.95
Typical High
$9,549.93
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$4,265.80
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,365.16
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,248.07
Typical High
$8,912.51
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$25,118.86
Typical High
$25,118.86
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$30,902.95
Median
$30,902.95
Typical High
$35,481.34

Where North Carolina sits

The same service costs 4.9 times more in Alaska than in Arkansas. 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.

North Carolina· 30th of 51

$4,571

AK $16,982AR $3,467

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.