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Clitoroplasty For Intersex Care

Michigan 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?

$6,186

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

Insurers have agreed to pay about $6,186 for this procedure. That total is two separate charges: $1,288 to the doctor who performs it, and $4,898 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$1,288$1,148 to $1,585
Facility feeThe hospital or surgery center$4,898$3,311 to $4,898

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,380 to $6,918Professionalmedian $1,288 · 10th to 90th $1,000 to $1,698
$500$1K$2K$5K$10Kfacility $4,898professional $1,288

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
$1,380.38
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,258.93
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$316.23
Typical High
$316.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,288.25
Typical High
$3,467.37
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$3,548.13
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,348.96
Typical High
$1,862.09
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,011.87
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,513.56
Typical High
$1,949.84

Where Michigan 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

Michigan· 17th of 50

$6,186

$1,288 physician + $4,898 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.