Table 2.3.

Frequency and Costs of Claims for Gender-Affirming Surgeries, 1993-2019

	Phalloplasty	Vaginoplasty	Hysterectomy	Orchiectomy	Mastectomy	Mammoplasty	FFS	Total
Total procedures (n)	195	392	311	289	1,163	113	105	2,568
Total people (n)	94	326	309	288	1,128	105	84	2,334*
People as percent of total transgender population (N = 16,619)	0.6	2.0	1.9	1.7	6.8	0.6	0.5	14.0
Mean health plan paid costs, $
Per procedure	63,432	45,080	14,433	6,927	12,304	16,164	28,934	26,753
Per person	133,911	53,645	14,538	6,927	12,680	17,426	35,316	39,206
Mean out-of-pocket costs, $
Per procedure	1,886	2,205	1,617	1,250	2,177	1,134	1,029	1,614
Per person	3,982	2,624	1,629	1,250	2,244	1,223	1,256	2,030
Mean total costs, $
Per procedure	65,318	47,285	16,050	8,177	14,481	17,298	29,963	28,367
Per person	137,893	56,269	16,167	8,177	14,924	18,649	36,572	41,236
Out-of-pocket proportion per person, %	2.9	4.7	10.1	15.3	15.0	6.6	3.4	4.9