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Simple Incision Of The Hymen

Idaho 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?

$72.44

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $4,467 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 8 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$54.95 to $81.28
FacilityA hospital or hospital-owned outpatient department$4,467$97.72 to $6,761

How much rates vary

Facilitymedian $4,467 · 10th to 90th $71 to $8,128Professionalmedian $69 · 10th to 90th $48 to $91
$50.0$200.0$1.0K$5.0Kfacility $4,467professional $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
$95.50
Median
$5,495.41
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$54.95
Typical High
$81.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,548.13
Typical High
$8,128.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$91.20
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$69.18
Typical High
$102.33
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$70.79
Typical High
$102.33
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$75.86
Typical High
$93.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$7,079.46
Typical High
$10,232.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$77.62
Typical High
$91.20
Select Health
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$3,630.78
Typical High
$6,025.60
Select Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$12,302.69
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$64.57
Typical High
$95.50

Where Idaho 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.

Idaho $72.44 · 30th 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.