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Simple Incision Of The Hymen

West Virginia 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?

$45.71

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $42.66 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 4 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$45.71$42.66 to $52.48
FacilityA hospital or hospital-owned outpatient department$42.66$42.66 to $1,230

How much rates vary

Facilitymedian $43 · 10th to 90th $43 to $1,413Professionalmedian $46 · 10th to 90th $40 to $66
$50.0$200.0$1.0K$5.0Kfacility $43professional $46

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
$42.66
Median
$42.66
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$45.71
Typical High
$52.48
CareSource
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$61.66
CareSource
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$66.07
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$51.29
Typical High
$81.28

Where West Virginia 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.

West Virginia $45.71 · 51st 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.