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California rates for HCPCS 56442

Hymenotomy, simple incision

Facilitymedian $4,786 · 10th–90th $1,905$13,4900%10%10th90th$4,786Professionalmedian $63 · 10th–90th $43$2000%20%10th90th$63$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $6,025.60 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $54.95 / $204.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $4,570.88 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $85.11 / $165.96
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $3,890.45 / $7,079.46
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $69.18 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $61.66 / $169.82
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $87.10 / $131.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $56.23 / $134.90
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $19,498.45 / $19,498.45
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $61.66 / $93.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $60.26 / $134.90
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $87.10 / $147.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $7,244.36 / $15,135.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $54.95 / $138.04