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Simple Incision Of The Hymen

South Dakota 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?

$87.10

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $3,981 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 7 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$79.43$48.98 to $110
FacilityA hospital or hospital-owned outpatient department$3,981$2,692 to $3,981

How much rates vary

Facilitymedian $3,981 · 10th to 90th $72 to $3,981Professionalmedian $79 · 10th to 90th $40 to $138
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $3,981professional $79

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
$2,290.87
Median
$3,981.07
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$42.66
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$109.65
Typical High
$138.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$72.44
Typical High
$125.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$83.18
Typical High
$549.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$104.71
Typical High
$107.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$79.43
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$93.33
Typical High
$131.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$102.33
Typical High
$107.15

Where South Dakota 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.

South Dakota $87.10 · 22nd 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.