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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 July 2026.

How much does Simple Incision Of The Hymen cost?

$57.54

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $1,047 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$57.54$45.71 to $74.13
FacilityA hospital or hospital-owned outpatient department$1,047$70.79 to $6,310

How much rates vary

Facilitymedian $1,047 · 10th to 90th $63 to $7,762Professionalmedian $58 · 10th to 90th $44 to $257
$100.0$1.0K$10.0Kfacility $1,047professional $58

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
$67.61
Median
$1,047.13
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$54.95
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$69.18
Typical High
$91.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$69.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$69.18
Typical High
$120.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$6,918.31
Typical High
$14,125.38
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$70.79
Typical High
$109.65

Where New Mexico 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.

New Mexico $57.54 · 45th 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.