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Clitoroplasty For Intersex Care

Kentucky 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?

$6,187

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

Insurers have agreed to pay about $6,187 for this procedure. That total is two separate charges: $1,175 to the doctor who performs it, and $5,012 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$1,175$1,122 to $1,479
Facility feeThe hospital or surgery center$5,012$1,122 to $8,511

How much rates vary

Facilitymedian $5,012 · 10th to 90th $851 to $11,220Professionalmedian $1,175 · 10th to 90th $1,023 to $2,291
$50$200$1K$5Kfacility $5,012professional $1,175

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
$851.14
Median
$1,122.02
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$2,818.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,174.90
Typical High
$1,621.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$1,737.80
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,513.56
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,949.84
Typical High
$10,232.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,548.82
Typical High
$2,238.72

Where Kentucky 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

Kentucky· 16th of 50

$6,187

$1,175 physician + $5,012 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.