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Clitoroplasty For Intersex Care

Iowa rates for HCPCS 56805

A reconstructive genital surgery performed as part of care for a person born with a difference in sex development (an intersex condition), reshaping the clitoris. It is performed by a specialist as part of a broader treatment plan tailored to the individual.

Rates data updated July 2026.

How much does Clitoroplasty For Intersex Care cost?

$7,708

Typical total for the visit. In Iowa, July 2026.

Insurers have agreed to pay about $7,708 for this procedure. That total is two separate charges: $1,820 to the doctor who performs it, and $5,888 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,820$1,202 to $2,884
Facility feeThe hospital or surgery center$5,888$2,951 to $7,413

How much rates vary

Facilitymedian $5,888 · 10th to 90th $1,413 to $8,710Professionalmedian $1,820 · 10th to 90th $1,072 to $6,918
$1K$2K$5K$10Kfacility $5,888professional $1,820

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
$1,412.54
Median
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,412.54
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,630.27
Typical High
$3,311.31
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,949.84
Typical High
$3,981.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,235.94
Typical High
$8,709.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,290.87
Typical High
$10,000.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,754.23
Typical High
$3,981.07
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,162.28
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$6,309.57
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,862.09
Typical High
$3,630.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,041.74
Typical High
$2,398.83

Where Iowa sits

The same service costs 4.4 times more in Nebraska than in West Virginia. 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.

Physician feeFacility fee

Iowa· 11th of 50

$7,708

$1,820 physician + $5,888 facility

NE $9,985WV $2,245

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.