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Clitoroplasty For Intersex Care

South Dakota 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?

$4,394

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

Insurers have agreed to pay about $4,394 for this procedure. That total is two separate charges: $1,995 to the doctor who performs it, and $2,399 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,995$1,175 to $2,630
Facility feeThe hospital or surgery center$2,399$1,514 to $4,365

How much rates vary

Facilitymedian $2,399 · 10th to 90th $1,148 to $4,365Professionalmedian $1,995 · 10th to 90th $977 to $3,311
$1K$2K$5Kfacility $2,399professional $1,995

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. Small sample; interpret with caution. 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
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,047.13
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,630.27
Typical High
$3,311.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,778.28
Typical High
$2,884.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$2,041.74
Typical High
$10,000.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,570.40
Typical High
$2,630.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,905.46
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$2,344.23
Typical High
$3,235.94
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,398.83
Typical High
$2,511.89

Where South Dakota 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 Dakota· 35th of 50

$4,394

$1,995 physician + $2,399 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.