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Surgical Construction Of Male Genitalia

West Virginia 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?

$5,012

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $5,012 for this service. The price depends on where it is billed: about $5,129 from a physician practice, and about $708 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,129$3,981 to $6,457
FacilityA hospital or hospital-owned outpatient department$708$562 to $1,413

How much rates vary

Facilitymedian $708 · 10th to 90th $151 to $7,079Professionalmedian $5,129 · 10th to 90th $3,388 to $10,471
$50$200$1K$5Kfacility $708professional $5,129

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
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$4,677.35
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$6,456.54
Typical High
$19,498.45
United
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$660.69
Typical High
$9,772.37
United
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$5,128.61
Typical High
$10,471.29

Where West Virginia 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.

West Virginia· 21st of 51

$5,012

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.