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Simple Incision Of The Hymen

Maine 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?

$63.10

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $63.10 for this service. Most negotiated rates run $52.48 to $74.13.

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.

How much rates vary

Facilitymedian $6,607 · 10th to 90th $6,607 to $6,607Professionalmedian $63 · 10th to 90th $48 to $95
$50$100$200$500$1K$2K$5Kfacility $6,607professional $63

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
Professional
Modifier
Global
Typical Low
$44.67
Median
$47.86
Typical High
$54.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$69.18
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$112.20
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$64.57
Typical High
$109.65
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$69.18
Typical High
$123.03

Where Maine 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.

Maine· 41st of 51

$63.10

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.