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Clitoroplasty For Intersex Care

Montana 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?

$3,992

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

Insurers have agreed to pay about $3,992 for this procedure. That total is two separate charges: $1,950 to the doctor who performs it, and $2,042 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,950$1,230 to $2,188
Facility feeThe hospital or surgery center$2,042$1,950 to $2,188

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,862 to $2,344Professionalmedian $1,950 · 10th to 90th $1,175 to $6,310
$100$200$500$1K$2K$5Kfacility $2,042professional $1,950

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
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,698.24
Typical High
$6,309.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,862.09
Typical High
$1,905.46
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,041.74
Typical High
$2,344.23
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,041.74
Typical High
$2,344.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,584.89
Typical High
$2,137.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,318.26
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,949.84
Typical High
$2,884.03

Where Montana 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

Montana· 41st of 50

$3,992

$1,950 physician + $2,042 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.