go back

Simple Incision Of The Hymen

South Carolina 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?

$56.23

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $5,623 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$52.48$45.71 to $63.10
FacilityA hospital or hospital-owned outpatient department$5,623$2,344 to $9,772

How much rates vary

Facilitymedian $5,623 · 10th to 90th $52 to $20,893Professionalmedian $52 · 10th to 90th $42 to $85
$50$200$1K$5K$20Kfacility $5,623professional $52

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
$52.48
Median
$5,888.44
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$52.48
Typical High
$85.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$5,011.87
Typical High
$8,709.64
BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$61.66
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$64.57
Typical High
$147.91
Medcost
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$64.57
Typical High
$107.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$10,715.19
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$56.23
Typical High
$95.50

Where South Carolina 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.

South Carolina· 46th of 51

$56.23

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.