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Simple Incision Of The Hymen

New Hampshire 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 New Hampshire, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $1,738 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$79.43$52.48 to $93.33
FacilityA hospital or hospital-owned outpatient department$1,738$1,514 to $8,913

How much rates vary

Facilitymedian $1,738 · 10th to 90th $182 to $9,772Professionalmedian $79 · 10th to 90th $49 to $123
$50$200$1K$5Kfacility $1,738professional $79

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
$100.00
Median
$1,819.70
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$52.48
Typical High
$89.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,737.80
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$81.28
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$97.72
Typical High
$144.54
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$79.43
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$81.28
Typical High
$177.83

Where New Hampshire 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.

New Hampshire· 26th of 51

$81.28

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.