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Clitoroplasty For Intersex Care

Illinois 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?

$4,072

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

Insurers have agreed to pay about $4,072 for this procedure. That total is two separate charges: $1,380 to the doctor who performs it, and $2,692 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,380$1,148 to $1,905
Facility feeThe hospital or surgery center$2,692$1,259 to $5,129

How much rates vary

Facilitymedian $2,692 · 10th to 90th $1,148 to $8,710Professionalmedian $1,380 · 10th to 90th $1,023 to $2,692
$1$10$100$1K$10Kfacility $2,692professional $1,380

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
$1,122.02
Median
$2,089.30
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,174.90
Typical High
$2,344.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,011.87
Typical High
$22,908.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,548.82
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,584.89
Typical High
$2,454.71
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,905.46
Typical High
$5,011.87
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,479.11
Typical High
$1,621.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,388.44
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$2,570.40

Where Illinois 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

Illinois· 40th of 50

$4,072

$1,380 physician + $2,692 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.