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Simple Incision Of The Hymen

North Dakota 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?

$93.33

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $1,995 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 5 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$93.33$52.48 to $107
FacilityA hospital or hospital-owned outpatient department$1,995$46.77 to $3,981

How much rates vary

Facilitymedian $1,995 · 10th to 90th $43 to $3,981Professionalmedian $93 · 10th to 90th $47 to $123
$50$100$200$500$1K$2K$5Kfacility $1,995professional $93

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
$1,995.26
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$46.77
Typical High
$53.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$104.71
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$144.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$141.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$85.11
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,019.95
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$81.28
Typical High
$117.49

Where North Dakota 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.

North Dakota· 18th of 51

$93.33

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.