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Separating Fused Labial Folds

Maine rates for HCPCS 56441

Gently separates labial folds that have stuck together and closed over the opening they normally leave clear. It is seen most often in young girls and can obstruct the flow of urine or trap moisture and cause irritation. Numbing cream or a local anesthetic is used, the tissue is eased apart, and an ointment is generally applied afterward so the surfaces do not stick again.

Rates data updated July 2026.

How much does Separating Fused Labial Folds cost?

$224

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $224 for this service. Most negotiated rates run $170 to $269.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,607 · 10th to 90th $6,607 to $6,607Professionalmedian $224 · 10th to 90th $151 to $355
$200$500$1K$2K$5Kfacility $6,607professional $224

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$162.18
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$239.88
Typical High
$407.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$229.09
Typical High
$371.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$162.18
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$229.09
Typical High
$398.11

Where Maine sits

The same service costs 8.7 times more in Oklahoma 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.

Maine· 28th of 51

$224

OK $1,380WV $158

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.