go back

Simple Incision Of The Hymen

Alaska 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?

$155

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $117 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 6 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$162$63.10 to $219
FacilityA hospital or hospital-owned outpatient department$117$58.88 to $316

How much rates vary

Facilitymedian $117 · 10th to 90th $47 to $6,607Professionalmedian $162 · 10th to 90th $47 to $302
$50.0$200.0$1.0K$5.0Kfacility $117professional $162

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
Facility
Modifier
Global
Typical Low
$151.36
Median
$5,888.44
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$85.11
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$56.23
Typical High
$154.88
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$69.18
Typical High
$309.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$162.18
Typical High
$316.23
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$269.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$69.18
Typical High
$309.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$104.71
Typical High
$104.71
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
$48.98
Median
$125.89
Typical High
$288.40

Where Alaska sits

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.

Alaska $155 · 8th of 51
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.