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Simple Incision Of The Hymen

Utah 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?

$70.79

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $3,388 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$61.66$48.98 to $81.28
FacilityA hospital or hospital-owned outpatient department$3,388$2,951 to $4,467

How much rates vary

Facilitymedian $3,388 · 10th to 90th $62 to $6,026Professionalmedian $62 · 10th to 90th $43 to $117
$50.0$200.0$1.0K$5.0Kfacility $3,388professional $62

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
$61.66
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$54.95
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$102.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$93.33
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$6,165.95
Typical High
$9,549.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$70.79
Typical High
$83.18
Select Health
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Select Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$61.66
Typical High
$72.44
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$69.18
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,128.61
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$58.88
Typical High
$97.72

Where Utah 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.

Utah $70.79 · 34th 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.