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Clitoroplasty For Intersex Care

Maine 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?

$1,479

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $1,479 for this service. Most negotiated rates run $1,230 to $1,778.

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.

How much rates vary

Facilitymedian $6,607 · 10th to 90th $6,607 to $6,607Professionalmedian $1,479 · 10th to 90th $1,148 to $2,239
$1K$2K$5Kfacility $6,607professional $1,479

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,174.90
Typical High
$1,230.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,698.24
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,513.56
Typical High
$2,570.40
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,548.82
Typical High
$2,570.40
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,174.90
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,659.59
Typical High
$2,884.03

Where Maine sits

The same service costs 4.5 times more in California than in Washington, DC. 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.

Maine· 31st of 51

$1,479

CA $4,467DC $1,000

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.