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Surgical Construction Of Male Genitalia

Vermont 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 October 2026.

How much does Surgical Construction Of Male Genitalia cost?

$6,761

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $6,761 for this service. Most negotiated rates run $5,012 to $6,761.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $776 · 10th to 90th $468 to $3,802Professionalmedian $6,761 · 10th to 90th $3,802 to $8,511
$500$1K$2K$5K$10Kfacility $776professional $6,761

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$6,760.83
Typical High
$6,760.83
United
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
United
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$5,623.41
Typical High
$10,232.93

Where Vermont sits

The same service costs 4.4 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.

Vermont· 7th of 51

$6,761

AK $14,125AR $3,236

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.