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Simple Incision Of The Hymen

Alabama 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?

$64.57

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $933 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 4 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$64.57$40.74 to $64.57
FacilityA hospital or hospital-owned outpatient department$933$708 to $2,291

How much rates vary

Facilitymedian $933 · 10th to 90th $617 to $3,467Professionalmedian $65 · 10th to 90th $38 to $85
$50$100$200$500$1K$2K$5Kfacility $933professional $65

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
$562.34
Median
$954.99
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$64.57
Typical High
$85.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$1,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$63.10
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$63.10
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,884.03
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$48.98
Typical High
$75.86

Where Alabama sits

The same service costs 66.1 times more in California 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.

Alabama· 39th of 51

$64.57

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.