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Simple Incision Of The Hymen

Minnesota 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?

$117

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $363 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$112$83.18 to $155
FacilityA hospital or hospital-owned outpatient department$363$148 to $5,623

How much rates vary

Facilitymedian $363 · 10th to 90th $98 to $11,749Professionalmedian $112 · 10th to 90th $55 to $186
$50$200$1K$5K$20Kfacility $363professional $112

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
$42.66
Median
$42.66
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$51.29
Typical High
$57.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$7,413.10
Typical High
$22,908.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$114.82
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$169.82
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$147.91
Typical High
$223.87
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$186.21
Typical High
$363.08
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$123.03
Typical High
$186.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$97.72
Typical High
$8,317.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$95.50
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$5,248.07
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$190.55

Where Minnesota 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.

Minnesota· 12th of 51

$117

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.