go back

Simple Incision Of The Hymen

Connecticut 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?

$97.72

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $4,786 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$69.18$58.88 to $107
FacilityA hospital or hospital-owned outpatient department$4,786$3,802 to $7,079

How much rates vary

Facilitymedian $4,786 · 10th to 90th $3,388 to $9,333Professionalmedian $69 · 10th to 90th $42 to $132
$50$200$1K$5Kfacility $4,786professional $69

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
$3,388.44
Median
$4,786.30
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$67.61
Typical High
$131.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,168.69
Typical High
$12,022.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$91.20
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$79.43
Typical High
$128.82
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,244.36
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$70.79
Typical High
$131.83

Where Connecticut 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.

Connecticut· 16th of 51

$97.72

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.