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Clitoroplasty For Intersex Care

Massachusetts 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?

$4,264

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

Insurers have agreed to pay about $4,264 for this procedure. That total is two separate charges: $1,445 to the doctor who performs it, and $2,818 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,445$1,175 to $2,455
Facility feeThe hospital or surgery center$2,818$1,318 to $4,266

How much rates vary

Facilitymedian $2,818 · 10th to 90th $794 to $5,888Professionalmedian $1,445 · 10th to 90th $1,047 to $3,388
$100$200$500$1K$2K$5K$10Kfacility $2,818professional $1,445

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
$1,148.15
Median
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,202.26
Typical High
$3,388.44
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,801.89
Typical High
$9,772.37
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,659.59
Typical High
$10,232.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,290.87
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$1,778.28
Typical High
$3,162.28
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,258.93
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,122.02
Typical High
$1,659.59
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,862.09
Typical High
$3,235.94
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,801.89
Typical High
$9,772.37
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,659.59
Typical High
$10,232.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$4,265.80
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,041.74
Typical High
$4,365.16

Where Massachusetts 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

Massachusetts· 38th of 50

$4,264

$1,445 physician + $2,818 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.