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Simple Incision Of The Hymen

Kansas 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?

$93.33

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $3,162 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$54.95$45.71 to $93.33
FacilityA hospital or hospital-owned outpatient department$3,162$1,380 to $5,623

How much rates vary

Facilitymedian $3,162 · 10th to 90th $110 to $7,943Professionalmedian $55 · 10th to 90th $45 to $93
$50.0$200.0$1.0K$5.0Kfacility $3,162professional $55

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
$1,348.96
Median
$3,630.78
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$46.77
Typical High
$70.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,096.48
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$63.10
Typical High
$102.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$1,479.11
Typical High
$12,022.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$54.95
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$2,454.71
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$53.70
Typical High
$79.43

Where Kansas 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.

Kansas $93.33 · 19th 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.