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Simple Incision Of The Hymen

Georgia 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?

$102

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $3,388 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$66.07$48.98 to $91.20
FacilityA hospital or hospital-owned outpatient department$3,388$1,445 to $4,786

How much rates vary

Facilitymedian $3,388 · 10th to 90th $708 to $7,413Professionalmedian $66 · 10th to 90th $39 to $117
$10.0$100.0$1.0K$10.0Kfacility $3,388professional $66

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
$83.18
Median
$3,548.13
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$51.29
Typical High
$120.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,570.40
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$77.62
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$77.62
Typical High
$144.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$53.70
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$3,890.45
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$63.10
Typical High
$104.71

Where Georgia 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.

Georgia $102 · 15th 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.