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Simple Incision Of The Hymen

Maryland 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?

$51.29

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $1,905 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 6 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$50.12$40.74 to $64.57
FacilityA hospital or hospital-owned outpatient department$1,905$1,778 to $1,905

How much rates vary

Facilitymedian $1,905 · 10th to 90th $1,622 to $6,607Professionalmedian $50 · 10th to 90th $40 to $178
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $1,905professional $50

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$45.71
Typical High
$257.04
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$66.07
Typical High
$120.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$53.70
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$58.88
Typical High
$97.72
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$70.79

Where Maryland 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.

Maryland $51.29 · 49th 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.