go back

Clitoroplasty For Intersex Care

Ohio 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?

$5,554

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

Insurers have agreed to pay about $5,554 for this procedure. That total is two separate charges: $1,288 to the doctor who performs it, and $4,266 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,288$1,122 to $1,660
Facility feeThe hospital or surgery center$4,266$2,188 to $10,233

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,202 to $12,023Professionalmedian $1,288 · 10th to 90th $1,072 to $3,090
$50$200$1K$5Kfacility $4,266professional $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
$1,258.93
Median
$8,912.51
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,288.25
Typical High
$11,481.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$3,019.95
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,288.25
Typical High
$2,290.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,148.15
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$1,548.82
Typical High
$2,290.87
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$1,548.82
Typical High
$2,290.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,230.27
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$4,168.69
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$2,398.83

Where Ohio 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

Ohio· 22nd of 50

$5,554

$1,288 physician + $4,266 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.