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Clitoroplasty For Intersex Care

New Jersey 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?

$8,093

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $8,093 for this procedure. That total is two separate charges: $1,175 to the doctor who performs it, and $6,918 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$1,175$1,047 to $1,622
Facility feeThe hospital or surgery center$6,918$4,571 to $10,233

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,995 to $12,023Professionalmedian $1,175 · 10th to 90th $977 to $2,818
$1K$2K$5K$10Kfacility $6,918professional $1,175

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
$1,584.89
Median
$6,918.31
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,513.56
Typical High
$2,818.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,479.11
Typical High
$1,949.84
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$10,232.93
Typical High
$16,218.10
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,318.26
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,445.44
Typical High
$2,344.23

Where New Jersey 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

New Jersey· 6th of 50

$8,093

$1,175 physician + $6,918 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.