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Simple Incision Of The Hymen

Ohio 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?

$79.43

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $3,020 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 8 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$54.95$45.71 to $79.43
FacilityA hospital or hospital-owned outpatient department$3,020$1,698 to $4,786

How much rates vary

Facilitymedian $3,020 · 10th to 90th $151 to $10,715Professionalmedian $55 · 10th to 90th $44 to $2,455
$1.0$10.0$100.0$1.0K$10.0Kfacility $3,020professional $55

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
$85.11
Median
$2,951.21
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$54.95
Typical High
$4,786.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,818.38
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$53.70
Typical High
$95.50
CareSource
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$47.86
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$169.82
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$173.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$52.48
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$4,168.69
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$53.70
Typical High
$95.50

Where Ohio 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.

Ohio $79.43 · 28th 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.