go back

Simple Incision Of The Hymen

North Carolina 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?

$70.79

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $933 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$64.57$48.98 to $93.33
FacilityA hospital or hospital-owned outpatient department$933$69.18 to $5,129

How much rates vary

Facilitymedian $933 · 10th to 90th $46 to $7,586Professionalmedian $65 · 10th to 90th $46 to $132
$50.0$200.0$1.0K$5.0Kfacility $933professional $65

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
$45.71
Median
$1,380.38
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$52.48
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$74.13
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$74.13
Typical High
$123.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$56.23
Typical High
$91.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,606.93
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$61.66
Typical High
$109.65
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$19,498.45
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44

Where North Carolina 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.

North Carolina $70.79 · 32nd 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.