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Vaginoplasty For Intersex Care

Pennsylvania rates for HCPCS 57335

A reconstructive surgery performed as part of care for a person born with a difference in sex development (an intersex condition), reshaping or creating vaginal tissue. It is performed by a specialist as part of a broader, individualized treatment plan.

Rates data updated July 2026.

How much does Vaginoplasty For Intersex Care cost?

$5,934

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

Insurers have agreed to pay about $5,934 for this procedure. That total is two separate charges: $1,148 to the doctor who performs it, and $4,786 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,148$1,047 to $1,380
Facility feeThe hospital or surgery center$4,786$2,818 to $6,761

How much rates vary

Facilitymedian $4,786 · 10th to 90th $1,047 to $8,318Professionalmedian $1,148 · 10th to 90th $977 to $3,467
$200.0$1.0K$5.0K$20.0Kfacility $4,786professional $1,148

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
$1,047.13
Median
$4,786.30
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,148.15
Typical High
$3,467.37
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,819.70
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$1,380.38
Typical High
$2,187.76
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,778.28
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,412.54
Typical High
$2,238.72
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,981.07
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,174.90
Typical High
$3,467.37
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,318.26
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,174.90
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,890.45
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,380.38
Typical High
$2,344.23

Where Pennsylvania sits

The same service costs 6.0 times more in Wyoming than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feePennsylvania $5,934 · 19th of 50
WY $13,544WV $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.