go back

Clitoroplasty For Intersex Care

Virginia 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?

$4,836

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

Insurers have agreed to pay about $4,836 for this procedure. That total is two separate charges: $1,288 to the doctor who performs it, and $3,548 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 $1,698
Facility feeThe hospital or surgery center$3,548$1,445 to $6,026

How much rates vary

Facilitymedian $3,548 · 10th to 90th $1,122 to $9,550Professionalmedian $1,288 · 10th to 90th $977 to $2,630
$1K$2K$5K$10Kfacility $3,548professional $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
$5,011.87
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$1,995.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,479.11
Typical High
$2,137.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,258.93
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,479.11
Typical High
$2,630.27
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$3,090.30
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,949.84
Typical High
$2,754.23
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,548.82
Typical High
$2,290.87
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,548.82
Typical High
$8,709.64
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,548.82
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,309.57
Typical High
$13,489.63
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,445.44
Typical High
$2,344.23

Where Virginia 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

Virginia· 30th of 50

$4,836

$1,288 physician + $3,548 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.