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Simple Incision Of The Hymen

Montana 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?

$81.28

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $83.18 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$72.44$54.95 to $83.18
FacilityA hospital or hospital-owned outpatient department$83.18$81.28 to $89.13

How much rates vary

Facilitymedian $83 · 10th to 90th $79 to $8,710Professionalmedian $72 · 10th to 90th $48 to $257
$100.0$1.0K$10.0K$100.0Kfacility $83professional $72

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
Professional
Modifier
Global
Typical Low
$47.86
Median
$54.95
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$75.86
Typical High
$79.43
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$83.18
Typical High
$95.50
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$83.18
Typical High
$95.50
Providence
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$66.07
Typical High
$89.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$79.43
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$117.49

Where Montana 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.

Montana $81.28 · 27th 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.