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Simple Incision Of The Hymen

Nevada 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?

$54.95

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $1,950 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$50.12$43.65 to $64.57
FacilityA hospital or hospital-owned outpatient department$1,950$1,585 to $3,981

How much rates vary

Facilitymedian $1,950 · 10th to 90th $44 to $5,888Professionalmedian $50 · 10th to 90th $40 to $257
$1.0$10.0$100.0$1.0K$10.0Kfacility $1,950professional $50

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
$43.65
Median
$1,698.24
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$47.86
Typical High
$257.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,073.80
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$63.10
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$53.70
Typical High
$79.43
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$51.29
Typical High
$75.86
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Select Health
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$42.66
Typical High
$42.66
Select Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,187.76
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$56.23
Typical High
$109.65

Where Nevada 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.

Nevada $54.95 · 47th 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.