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Separating Fused Labial Folds

Montana 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?

$510

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

Insurers have agreed to pay about $510 for this procedure. That total is two separate charges: $234 to the doctor who performs it, and $275 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$234$155 to $316
Facility feeThe hospital or surgery center$275$245 to $324

How much rates vary

Facilitymedian $275 · 10th to 90th $234 to $355Professionalmedian $234 · 10th to 90th $148 to $871
$100$1K$10K$100Kfacility $275professional $234

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
Professional
Modifier
Global
Typical Low
$147.91
Median
$162.18
Typical High
$870.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$229.09
Typical High
$295.12
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$281.84
Typical High
$331.13
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$281.84
Typical High
$331.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$208.93
Typical High
$257.04
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$208.93
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$245.47
Typical High
$407.38

Where Montana sits

The same service costs 21.7 times more in Wyoming 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

Montana· 48th of 50

$510

$234 physician + $275 facility

WY $7,043WV $324

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.