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Simple Incision Of The Hymen

Arkansas 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?

$79.43

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $1,820 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$54.95$44.67 to $66.07
FacilityA hospital or hospital-owned outpatient department$1,820$794 to $2,884

How much rates vary

Facilitymedian $1,820 · 10th to 90th $81 to $3,467Professionalmedian $55 · 10th to 90th $41 to $81
$50$100$200$500$1K$2K$5Kfacility $1,820professional $55

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
$60.26
Median
$1,000.00
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$54.95
Typical High
$79.43
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$3,981.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$75.86
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$2,290.87
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$48.98
Typical High
$89.13

Where Arkansas 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.

Arkansas· 29th of 51

$79.43

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.