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Simple Incision Of The Hymen

Florida 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?

$66.07

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $6,026 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$47.86$40.74 to $54.95
FacilityA hospital or hospital-owned outpatient department$6,026$1,698 to $10,471

How much rates vary

Facilitymedian $6,026 · 10th to 90th $741 to $13,804Professionalmedian $48 · 10th to 90th $39 to $117
$100.0$1.0K$10.0Kfacility $6,026professional $48

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
$645.65
Median
$3,388.44
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$45.71
Typical High
$549.54
AvMed
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$3,388.44
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$50.12
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$1,659.59
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$61.66
Typical High
$117.49
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$33.88
Typical High
$48.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,754.40
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$58.88
Typical High
$100.00
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$47.86

Where Florida 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.

Florida $66.07 · 38th 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.