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Clitoroplasty For Intersex Care

North Carolina 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?

$3,395

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $3,395 for this procedure. That total is two separate charges: $1,445 to the doctor who performs it, and $1,950 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$1,445$1,148 to $2,291
Facility feeThe hospital or surgery center$1,950$1,318 to $5,248

How much rates vary

Facilitymedian $1,950 · 10th to 90th $1,148 to $8,710Professionalmedian $1,445 · 10th to 90th $977 to $3,311
$1K$2K$5K$10Kfacility $1,950professional $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
$2,884.03
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,288.25
Typical High
$3,311.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,548.82
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,778.28
Typical High
$2,884.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,479.11
Typical High
$2,238.72
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,606.93
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$2,691.53
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$9,772.37
Typical High
$9,772.37
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$10,232.93
Typical High
$10,232.93

Where North Carolina 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

North Carolina· 46th of 50

$3,395

$1,445 physician + $1,950 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.