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Simple Incision Of The Hymen

Michigan 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?

$57.54

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $4,365 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$54.95$45.71 to $66.07
FacilityA hospital or hospital-owned outpatient department$4,365$2,042 to $6,918

How much rates vary

Facilitymedian $4,365 · 10th to 90th $62 to $6,918Professionalmedian $55 · 10th to 90th $40 to $68
$100.0$1.0K$10.0Kfacility $4,365professional $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
$61.66
Median
$2,884.03
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$57.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$67.61
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$53.70
Typical High
$141.25
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$2,041.74
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$54.95
Typical High
$77.62
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,011.87
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$58.88
Typical High
$77.62

Where Michigan 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.

Michigan $57.54 · 44th 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.