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Simple Incision Of The Hymen

Missouri 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?

$1,072

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $53.70 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 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$53.70$44.67 to $72.44
FacilityA hospital or hospital-owned outpatient department$2,089$1,288 to $3,631

How much rates vary

Facilitymedian $2,089 · 10th to 90th $398 to $5,370Professionalmedian $54 · 10th to 90th $42 to $550
$50.0$200.0$1.0K$5.0K$20.0Kfacility $2,089professional $54

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
$53.70
Median
$2,511.89
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$45.71
Typical High
$2,398.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,778.28
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$57.54
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$48.98
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$70.79
Typical High
$165.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$1,659.59
Typical High
$12,022.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$64.57
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,754.23
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$57.54
Typical High
$91.20

Where Missouri 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.

Missouri $1,072 · 5th 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.