Gynecomastia surgery cost: How much does gynecomastia surgery cost?

ASPS’s original 2019 report gives the surgeon/physician fee alone. Anesthesia, operating room and other expenses cost extra. It doesn’t separate adult prices.

ASPS’s original 2020 report also gives the surgeon/physician fee alone. It doesn’t give a separate count of adult prices.

ASPS’s archived 2022 fee table labels $4,239 as the 2019 comparison. The original 2019 report instead gives $4,123. These conflicting labels don’t support a price trend.

ASPS’s archived 2023 surgeon/physician-fee table matches its undated cost page. Saved original reports were used where the live archive was blocked. No verified 2024 or 2025 fee was available.

Eisemann’s $5,000 to $6,000 pays only the surgeon. Its $2,800 facility/anesthesia charge belongs to that practice’s quote. XSculpt’s $6,995 is a starting price under local anesthesia. Compare what each includes before comparing amounts.

ACPS discounts its one-sided chest surgery to $7,400 to $9,400 only when you have another operation. That other operation costs extra. Its discounted bilateral chest prices have the same condition.

Packages include chest surgery with Renuvion, abdomen/flank liposuction, sculpting or other work. The highest package price includes chest surgery, abdomen/flank liposuction and sculpting. Bellevue’s package prices cover the surgeon and facility; the page doesn’t say whether anesthesia is included.

XSculpt’s TotalSculpt includes abdomen/flanks, Renuvion and pectoral fat grafting. Its included anesthesia is billed separately. These packages cover more than chest surgery alone.

This group has 81 practices’ own prices and 61 descriptions of local prices. Each practice defines its own grades and stages, so a grade doesn’t name a universal technique. Delgado offers different operations and optional skin treatment. Columbus lists prices by level without naming a technique.

Moein’s grade/anesthesia schedule promises all-inclusive pricing, then separately adds $1,500 to $2,500 for an anesthesiologist. All ten prices are labeled for that conflict.

Goals’ $6,000 starting price applies across its network. Related ACPS, XSculpt/Chicago Breast & Body, Delgado and Ditesheim pages don’t represent independent surgeons.

University of Utah Health describes using general anesthesia. The Aesthetic Society says general anesthesia is common, but local anesthesia or IV sedation is also used. Their patient pages, checked on October 13, 2026, give about 1–3 hours depending on the operation. Neither says how many operations that estimate draws on.

In March 2015, Steven Struck described roughly one-hour bodybuilder gland-removal cases. He gave $3,000 for office surgery and $4,000 for operating-room surgery without itemizing what was included. He separately said an operating room adds about $1,500, which doesn’t match the gap between those prices. Those historical statements don’t show what you would save or which anesthesia is safer.

For Idaho, Oregon, Utah and select Washington counties; effective September 1, 2026. All A–E criteria apply. They include gland tissue or fibrosis, grade II or higher, management of reversible causes, pain or tenderness and documentation. At age 18, the 16–18 age group requires at least 24 months and Tanner stage IV. The 12-month rule begins at age 19. The September 2026 update replaces a cosmetic-denial rule with prior authorization for code 19300.

As of September 23, 2026, code 19300 has an X meaning preauthorization is required. The “Not Covered” column has a dash. Benefits vary, and the list gives no clinical criteria. The X doesn’t promise payment. Current gynecomastia criteria weren’t available from the policy portal.

This exchange EPO document, effective January 1, 2026, excludes gynecomastia mastectomy in section 9.18. Other University of Utah plans can have different rules. It describes internal and eligible external appeals, with a 180-day appeal period.

The July 9, 2024 Medical Master Policy for 2024–25 excludes gynecomastia. That older document doesn’t settle a 2026–27 benefit. The State guide for July 1, 2026 through June 30, 2027 points to your member Master Policy. These documents don’t say what your current gynecomastia benefits are.

Utah Health excludes additional procedures and prescriptions. It doesn’t say whether anesthesia or the facility is included. York’s cash-discount schedule gives $11,000 for liposuction, $11,000 to $17,000 for excision, and $16,000 to $18,000 for skin reshaping. Its breast-augmentation inclusions don’t tell you what chest surgery includes. Its overall fee repeats the schedule rather than adding a fourth technique quote.

CareCredit’s 2025–2026 study gives $7,090 for Utah, excluding the surgeon, anesthesia and surgical center as its national figure does.

Regence Surgery 12.06 has criteria effective September 1, 2026. Select Health’s code list doesn’t promise approval, and the available PEHP documents don’t settle current member benefits. Noridian’s Utah Medicare rules appear in the next coverage chapter.

Patient-reported paid; gland excision only under local anesthesia; author says total and no additional facility fee; travel/lodging outside fee.

Patient-reported paid; reported total patient out-of-pocket for excision with skin removal through Kaiser; no itemized bill.

Patient-reported quote; personal consultation estimate attributed to surgeon Chen; grade 2/3 described; itemization not stated; not a practice-posted fee.

Patient-reported quote; chest surgery after major weight loss; $10,000 surgery and $4,500 facility; distinct full-body-lift quote excluded.

Patient-reported prepaid surgery; prospective gynecomastia removal plus liposuction; author says paid using personal loan; lender, APR and itemization not stated.

Patient-reported paid; main author reports total for grade 1/2 local operation; technique and itemized inclusions not stated; at eight weeks post-op in December 2025.

Another Chicago account reports paying $4,400 for a local operation in 2025, without naming the technique or itemizing included fees. A San Diego consultation account gives a $7,500 quote in 2024.

A Boston weight-loss account gives a $14,500 chest quote in 2024, including $10,000 for surgery and $4,500 for the facility. Those parts belong to one total.

A Texas account reports prepaying about $10,000 for planned gynecomastia removal with liposuction in 2024, using a personal loan. It gives no city, lender or APR.

Quotes, prepayments and bills after insurance measure different things. The invoices and insurance decisions weren’t independently checked.

For Aetna-administered plans, as reviewed March 12, 2026. Aetna calls gynecomastia reduction, mastectomy and liposuction cosmetic. Your contract decides your benefits. Female breast-reduction criteria are separate.

For Cigna-administered plans; effective August 15, 2026. Cigna lists Klinefelter syndrome as one alternative route. The duration-based route below has separate conditions, including hormone treatment. Your benefits and applicable mandates still decide coverage.

Effective August 15, 2026. This route requires persistence of at least 2 years during puberty or 1 year after puberty. It also requires gland tissue, grade II–IV, front/side photos, persistent pain and the listed conditions for treating reversible causes. Where the policy calls for stopping an implicated drug, it requires at least 1 year off it. Identified hormonal causes need evaluation and treatment for at least 12 months. Liposuction alone is excluded. These conditions don’t apply to the separate Klinefelter route.

For commercial and Individual Exchange plans; effective June 1, 2026. At age 18 and older, all listed findings are required. They include stage II–IV, moderate or severe pain and impairment, gland tissue, medication evaluation, persistence and appropriate normal lab results. Most benefits exclude benign gynecomastia. The 2-year rule applies to people under 18, outside this guide.

For plans using this guideline, published April 15, 2026 and reviewed February 19, 2026. Its routine route requires all listed findings. You must be older than 18 or at least 18 months after puberty. It also requires gland tissue, evaluation of reversible causes, pain affecting daily activity and photos. Pain-relief or anti-inflammatory treatment must have failed over 3 months. Cancer concerns and reconstruction for drug-induced cases have separate routes. The guideline excludes liposuction used to perform the mastectomy.

For Idaho, Oregon, Utah and select Washington counties; effective September 1, 2026. All A–E criteria apply. They include gland tissue or fibrosis, grade II or higher, management of reversible causes, pain or tenderness and documentation. At age 18, the 16–18 age group requires at least 24 months and Tanner stage IV. The 12-month rule begins at age 19. The September 2026 update replaces a cosmetic-denial rule with prior authorization for code 19300.

For JE California, Nevada, Hawaii, American Samoa, Guam and Northern Mariana Islands. JF covers Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington and Wyoming. LCD R8 and article R9 are effective October 16, 2025. The gynecomastia paragraph discusses grade III/IV or abnormal development with excess skin, without giving a duration. The article’s general documentation rules still apply. It lists no gynecomastia-specific code 19300 or duration requirement. That doesn’t promise approval or remove other requirements.

For JH Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma and Texas. JL covers Delaware, District of Columbia, Maryland, New Jersey and Pennsylvania. LCD R9 is effective July 11, 2021; article R8 is effective November 17, 2025. The LCD includes grade III/IV or excess skin, pain, problems with function and treatment findings, including 3–4 months. The article adds at least 1 year of persistence and failed 3–4-month medical treatment. It also requires documentation of gland tissue, grade, hormones, causes and medications. Read both documents.

For J5 Iowa, Kansas, Missouri and Nebraska; J8 Indiana and Michigan. Check the service area separately for the special Part A 05901 multi-state contract. LCD R4 is effective August 27, 2026; article R9 is effective June 25, 2026. The LCD lists 3–4 months alongside grade III/IV, pain, problems with function and failure to respond to treatment. The article requires at least 1 year of persistence and 6 months of failed treatment. It also requires documentation of gland tissue, grade, causes, lab results and medications. The same contractor’s two documents give different requirements.

For J15 Kentucky and Ohio. LCD R1 is effective May 21, 2026; article R5 is effective November 27, 2025. The LCD includes 3–4 months alongside grade III/IV, pain, problems with function and failure to respond to treatment. The billing article requires at least 1 year of persistence and 6 months of failed treatment. It also requires documentation of gland tissue, grade, causes, lab results and medications. Read both; the shorter LCD period doesn’t cover every requirement.

For JN Florida, Puerto Rico and US Virgin Islands. LCD R2 is effective July 11, 2021; article R3 is effective November 17, 2025. The LCD includes grade III/IV or excess skin, pain, problems with function and treatment criteria, including 3–4 months. The article adds at least 1 year of persistence and failed 3–4-month treatment. It also requires correction of causes, exclusion of hormonal causes, gland/grade documentation and medications ruled out. Its rule for liposuction that forms part of the operation applies to this contractor.

These five contractor comparisons name the states and territories each serves, as checked on October 13, 2026. Noridian handles Utah within JF. Its L35163 gynecomastia paragraph gives no duration, but general documentation rules and billing article A57221 still apply. That article lists no gynecomastia-specific duration. This doesn’t promise payment or remove other rules.

Humana Medicare Advantage HUM-1254-009, effective August 3, 2026, sends Utah JF cases to L35163/A57221. It uses different fallback rules elsewhere.

UnitedHealthcare Medicare Advantage MMP022.16, effective September 1, 2026, uses applicable LCDs and articles first. It falls back to its commercial policy only when none apply.

The surgeon’s office can explain its quote. Your insurer can explain benefits and claims. Someone else’s approval or an X on a code list doesn’t tell you your deductible or excluded-service costs.

Before paying a deposit, ask your plan and every biller how much you may owe. Check benefits, the authorized operation and dates, and the network status of the surgeon, facility and anesthesia provider. Ask about any cosmetic extra procedure or excluded charge. These sources don’t settle surprise-bill protections or the amount you’ll owe in your case.

If a bill surprises you, request the itemized bill, explanation of benefits and authorization. Ask the biller and insurer which charges were paid, denied or assigned to you.

HealthCare.gov explains internal and eligible external appeals without giving a success rate. The University of Utah Individual EPO 2026 document gives a 180-day appeal period for that plan only.

Layton, UT. CoolSculpting is priced by treatment area. This isn’t a chest-specific or gland-removal quote. Page undated.

Holladay, UT. Kybella starts at this amount, and the FAQ repeats the per-vial fee. This isn’t a chest quote. Page undated; saved and browser copies were used when access was blocked.

Lehi, UT. Listed Kybella price per vial, without a chest-specific or complete treatment price. Page undated.

Draper/Bountiful, UT, with Idaho and Oklahoma locations. Surgical chest-fat removal; the page doesn’t say which fees are included. Page undated.

Alpharetta, GA. General chest pricing depends on sessions without saying how many or claiming this as the practice’s own price. This isn’t a gland-removal quote. Page undated.

Montclair, NJ. The page prices both sides and describes chest use as off-label. It doesn’t say this is the practice’s own price. The heading says 2026 without a day or month.

The FDA says noninvasive body-contouring devices aren’t cleared or approved to treat breasts in males or females. Its September 15, 2026 Kybella notice concerns unapproved uses outside fat under the chin. An advertised fat-freezing price or per-vial price doesn’t show that a treatment removes gland or is safe on the chest.

Belle Medical starts chest-fat removal at $3,500 per area. That is a surgical fat-removal service. Two medspa pages describe chest fat-freezing prices for their areas without giving their own prices or showing equivalent gland treatment.

These sources give no medication price or complete treatment budget. The candidacy guide covers clinician-directed medical treatment.

ASPS lists medical tests, prescriptions and garments as possible costs. You’ll also need a driver and someone with you for at least the first night.

St. George Surgical Center lists a $375 updated consultation requirement if you decide against surgery or delay more than 6 weeks. That isn’t an automatic cancellation fee. Its included follow-up is valued at $175, so you don’t add that as a mandatory extra charge. Further visits can cost more.

Full payment is due 14 calendar days before surgery. Its page gives no gynecomastia package price.

These sources don’t price airfare, hotels, a helper, local fluid drainage or a flight-clearance interval. Ask who will see you when you’re home. Utah Health says to call your doctor for abnormal swelling, dressing drainage, redness or fever.

Interest is part of repayment from the start. Compare total repayment as well as the monthly amount; a longer term can lower the payment while increasing interest.

Interest builds from the purchase date. If you miss the payoff deadline, that interest can be charged. Minimum payments may leave a balance. CFPB’s guidance was checked on October 13, 2026.

Cherry’s promotion at select merchants credits accrued interest back only if you meet both conditions. Pay all principal and fees by the promotion’s end, and make every payment within 15 days of its due date. Its blog gives a broader description, so read your specific disclosure. Terms checked on October 13, 2026.

The calculation takes the balance times the monthly rate, then divides by 1 minus (1 plus the monthly rate) raised to the negative number of months. We round monthly payments to cents, but use unrounded payments for totals. Multiplying the displayed payment can therefore differ by a few cents.

Lenders’ posted payment factors follow separate contract rules and may give a different payment.

The Consumer Financial Protection Bureau (CFPB) says deferred interest can reach back to the purchase date. This can happen if you don’t pay off the promotion by its deadline, and minimum payments may leave a balance. For a $7,500 balance, the 12-month voluntary-payoff example budgets $625.00 a month. That is a payoff target, not the contractual minimum or a zero-APR loan.

Cherry’s promotion waives accrued interest only under specific conditions that its broad blog wording doesn’t explain. Don’t assume every offer waives accrued interest.