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Simple Incision Of The Hymen

Wisconsin 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.

Facilitymedian $4,786 · 10th–90th $2,344$7,7620%10%10th90th$4,786Professionalmedian $63 · 10th–90th $45$1740%10%10th90th$63$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$97.72
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$52.48
Typical High
$114.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,786.30
Typical High
$7,585.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$91.20
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$144.54
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$138.04
Typical High
$162.18
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$2,630.27
Typical High
$5,128.61
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$147.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$5,754.40
Typical High
$8,709.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$83.18
Typical High
$208.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$5,754.40
Typical High
$7,762.47
Network Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$117.49
Typical High
$151.36
Quartz
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$109.65
Typical High
$154.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$9,549.93
Quartz
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$229.09
Typical High
$549.54
Security Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Security Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$251.19
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,585.78
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$77.62
Typical High
$199.53