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Simple Incision Of The Hymen

Iowa 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?

$115

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $3,802 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$70.79$57.54 to $138
FacilityA hospital or hospital-owned outpatient department$3,802$2,239 to $6,607

How much rates vary

Facilitymedian $3,802 · 10th to 90th $95 to $7,943Professionalmedian $71 · 10th to 90th $44 to $295
$50.0$200.0$1.0K$5.0Kfacility $3,802professional $71

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
$602.56
Median
$3,801.89
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$61.66
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$117.49
Typical High
$138.04
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$87.10
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$3,090.30
Typical High
$8,912.51
Medica
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$95.50
Typical High
$169.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$114.82
Typical High
$165.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$125.89
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$6,309.57
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$75.86
Typical High
$144.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$87.10
Typical High
$102.33

Where Iowa 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.

Iowa $115 · 13th 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.