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Clitoroplasty For Intersex Care

New Mexico 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?

$8,019

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

Insurers have agreed to pay about $8,019 for this procedure. That total is two separate charges: $1,413 to the doctor who performs it, and $6,607 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$1,413$1,148 to $1,778
Facility feeThe hospital or surgery center$6,607$2,042 to $9,120

How much rates vary

Facilitymedian $6,607 · 10th to 90th $1,622 to $11,482Professionalmedian $1,413 · 10th to 90th $1,096 to $2,754
$100$1K$10K$100Kfacility $6,607professional $1,413

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
$1,698.24
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,479.11
Typical High
$6,309.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$7,413.10
Typical High
$12,022.64
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,412.54
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,584.89
Typical High
$2,187.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,621.81
Typical High
$2,818.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,698.24
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$6,918.31
Typical High
$14,125.38
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,698.24
Typical High
$2,691.53

Where New Mexico 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 Mexico· 9th of 50

$8,019

$1,413 physician + $6,607 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.