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Clitoroplasty For Intersex Care

Utah 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?

$5,648

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

Insurers have agreed to pay about $5,648 for this procedure. That total is two separate charges: $1,479 to the doctor who performs it, and $4,169 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$1,479$1,318 to $2,042
Facility feeThe hospital or surgery center$4,169$3,162 to $4,571

How much rates vary

Facilitymedian $4,169 · 10th to 90th $1,479 to $6,026Professionalmedian $1,479 · 10th to 90th $1,096 to $2,951
$50$200$1K$5Kfacility $4,169professional $1,479

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
$1,479.11
Median
$3,388.44
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,479.11
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,548.82
Typical High
$2,454.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,290.87
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$6,165.95
Typical High
$9,549.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,737.80
Typical High
$2,041.74
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Select Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,445.44
Typical High
$1,698.24
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,737.80
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,128.61
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,445.44
Typical High
$2,398.83

Where Utah 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

Utah· 21st of 50

$5,648

$1,479 physician + $4,169 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.