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Simple Incision Of The Hymen

Rhode Island 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?

$67.61

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $67.61 for this service. Most negotiated rates run $48.98 to $85.11.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,981 · 10th to 90th $1,549 to $7,413Professionalmedian $59 · 10th to 90th $49 to $93
$50$200$1K$5Kfacility $3,981professional $59

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. 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
Global
Typical Low
$1,548.82
Median
$3,715.35
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$54.95
Typical High
$69.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,677.35
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$60.26
Typical High
$97.72

Where Rhode Island sits

The same service costs 66.1 times more in California than in West Virginia. 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.

Rhode Island· 37th of 51

$67.61

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.