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Clitoroplasty For Intersex Care

South 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?

$5,966

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

Insurers have agreed to pay about $5,966 for this procedure. That total is two separate charges: $1,288 to the doctor who performs it, and $4,677 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$1,288$1,148 to $1,445
Facility feeThe hospital or surgery center$4,677$1,820 to $9,120

How much rates vary

Facilitymedian $4,677 · 10th to 90th $1,288 to $21,878Professionalmedian $1,288 · 10th to 90th $891 to $1,995
$50$200$1K$5K$20Kfacility $4,677professional $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
$1,288.25
Median
$9,120.11
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,230.27
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$5,011.87
Typical High
$8,709.64
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,445.44
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,513.56
Typical High
$2,570.40
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,584.89
Typical High
$2,630.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$10,715.19
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,348.96
Typical High
$2,398.83

Where South 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

South Carolina· 18th of 50

$5,966

$1,288 physician + $4,677 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.