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Simple Incision Of The Hymen

New Mexico 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 October 2026.

How much does Simple Incision Of The Hymen cost?

$69.18

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $1,995 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$58.88$52.48 to $74.13
FacilityA hospital or hospital-owned outpatient department$1,995$1,202 to $2,818

How much rates vary

Facilitymedian $1,995 · 10th to 90th $537 to $6,310Professionalmedian $59 · 10th to 90th $37 to $91
$100$1K$10Kfacility $1,995professional $59

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$1,047.13
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$57.54
Typical High
$70.79
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$1,995.26
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$63.10
Typical High
$91.20
Molina
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$33.11
Typical High
$69.18
Providence
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$1,445.44
Typical High
$2,951.21
Providence
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$69.18
Typical High
$91.20
United
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$2,344.23
Typical High
$7,585.78
United
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$67.61
Typical High
$109.65

Where New Mexico sits

The same service costs 20.9 times more in Oklahoma than in Kentucky. 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 Mexico· 35th of 51

$69.18

OK $1,000KY $47.86

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.