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Simple Incision Of The Hymen

Nationwide rates for HCPCS 56442

This minor procedure makes a small incision to open the hymen, the thin tissue that partially covers the entrance to the vagina. It is done to relieve a blockage that is preventing normal menstrual flow or causing pain, or for other medical reasons requiring the opening to be enlarged. It is typically a quick procedure done under local or light anesthesia.

Rates data updated July 2026.

How much does Simple Incision Of The Hymen cost?

$102

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $3,548 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 66 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$58.88$46.77 to $93.33
FacilityA hospital or hospital-owned outpatient department$3,548$1,698 to $5,888

How much rates vary

Facilitymedian $3,548 · 10th to 90th $132 to $10,000Professionalmedian $59 · 10th to 90th $42 to $178
$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0Mfacility $3,548professional $59

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
$117.49
Median
$3,090.30
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$52.48
Typical High
$204.17
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$4,265.80
Typical High
$10,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$64.57
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$169.82
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$75.86
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,168.69
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$61.66
Typical High
$114.82

What it costs in each state

The same service costs 66.1 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

CA $3,020WV $45.71

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.