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Simple Incision Of The Hymen

Arizona 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?

$70.79

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $2,884 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 5 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$52.48$43.65 to $67.61
FacilityA hospital or hospital-owned outpatient department$2,884$1,862 to $4,677

How much rates vary

Facilitymedian $2,884 · 10th to 90th $977 to $5,623Professionalmedian $52 · 10th to 90th $40 to $245
$50.0$200.0$1.0K$5.0Kfacility $2,884professional $52

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
$1,445.44
Median
$3,715.35
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$52.48
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,778.28
Typical High
$3,467.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$58.88
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$58.88
Typical High
$102.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$74.13
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$54.95
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,951.21
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$51.29
Typical High
$91.20

Where Arizona 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.

Arizona $70.79 · 31st 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.