go back

Simple Incision Of The Hymen

Colorado 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?

$2,884

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $2,884 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $5,248 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 7 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$56.23$44.67 to $77.62
FacilityA hospital or hospital-owned outpatient department$5,248$3,236 to $7,586

How much rates vary

Facilitymedian $5,248 · 10th to 90th $1,096 to $9,333Professionalmedian $56 · 10th to 90th $45 to $132
$50.0$200.0$1.0K$5.0Kfacility $5,248professional $56

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
$1,096.48
Median
$3,388.44
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$45.71
Typical High
$131.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$66.07
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$72.44
Typical High
$114.82
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$63.10
Typical High
$87.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$63.10
Typical High
$363.08
Select Health
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$81.28
Typical High
$93.33
Select Health
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$48.98
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,011.87
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$117.49

Where Colorado 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.

Colorado $2,884 · 2nd 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.