go back

Simple Incision Of The Hymen

Nebraska 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?

$115

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $4,074 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$87.10$58.88 to $115
FacilityA hospital or hospital-owned outpatient department$4,074$3,311 to $7,943

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,585 to $13,490Professionalmedian $87 · 10th to 90th $44 to $257
$50.0$200.0$1.0K$5.0K$20.0Kfacility $4,074professional $87

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
$2,187.76
Median
$4,073.80
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$87.10
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,089.30
Typical High
$4,073.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$70.79
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$104.71
Typical High
$138.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$102.33
Typical High
$7,943.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$87.10
Typical High
$131.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$107.15
Typical High
$144.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$4,168.69
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$95.50
Typical High
$131.83

Where Nebraska 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.

Nebraska $115 · 14th 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.