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Simple Incision Of The Hymen

Indiana 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?

$89.13

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $6,310 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$52.48$46.77 to $61.66
FacilityA hospital or hospital-owned outpatient department$6,310$3,981 to $8,913

How much rates vary

Facilitymedian $6,310 · 10th to 90th $977 to $10,471Professionalmedian $52 · 10th to 90th $41 to $93
$50.0$200.0$1.0K$5.0Kfacility $6,310professional $52

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
$52.48
Median
$3,801.89
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$50.12
Typical High
$69.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$8,128.31
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$61.66
Typical High
$95.50
CareSource
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$47.86
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$60.26
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$5,623.41
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$53.70
Typical High
$87.10

Where Indiana 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.

Indiana $89.13 · 21st 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.