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Simple Incision Of The Hymen

Louisiana 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?

$891

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $2,089 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$57.54$52.48 to $74.13
FacilityA hospital or hospital-owned outpatient department$2,089$1,000 to $3,467

How much rates vary

Facilitymedian $2,089 · 10th to 90th $501 to $4,786Professionalmedian $58 · 10th to 90th $41 to $89
$50$100$200$500$1K$2K$5Kfacility $2,089professional $58

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
$446.68
Median
$1,288.25
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$57.54
Typical High
$97.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,801.89
Typical High
$5,623.41
BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$60.26
Typical High
$74.13
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$61.66
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,884.03
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$89.13

Where Louisiana sits

The same service costs 66.1 times more in California than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Louisiana· 6th of 51

$891

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.