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Simple Incision Of The Hymen

Oregon 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?

$91.20

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $93.33 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$87.10$64.57 to $120
FacilityA hospital or hospital-owned outpatient department$93.33$85.11 to $123

How much rates vary

Facilitymedian $93 · 10th to 90th $60 to $7,943Professionalmedian $87 · 10th to 90th $52 to $151
$100.0$1.0K$10.0K$100.0K$1.0Mfacility $93professional $87

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
$95.50
Median
$5,011.87
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$61.66
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$102.33
Typical High
$141.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$91.20
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$69.18
Typical High
$117.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$89.13
Typical High
$154.88
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$91.20
Typical High
$93.33
Providence
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$72.44
Typical High
$123.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$91.20
Typical High
$131.83
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$10,232.93
Typical High
$12,589.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$112.20
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$9,549.93
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$91.20
Typical High
$134.90

Where Oregon 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.

Oregon $91.20 · 20th 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.