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Vaginal Dilation Under Anesthesia

Hawaii rates for HCPCS 57400

This procedure gradually widens the vaginal canal using dilators while the patient is under anesthesia, used when the vagina has become narrowed or scarred from a congenital condition, prior surgery, or radiation. Anesthesia allows the tissue to be stretched more effectively and comfortably than dilation done while awake. It is often followed by a home dilation routine to maintain the improvement.

Rates data updated July 2026.

How much does Vaginal Dilation Under Anesthesia cost?

$1,995

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $1,995 for this service. Most negotiated rates run $234 to $4,467.

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.

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,148 to $3,890Professionalmedian $1,950 · 10th to 90th $135 to $5,370
$20.0$100.0$500.0$2.0Kfacility $3,890professional $1,950

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
$1,148.15
Median
$3,890.45
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$158.49
Typical High
$162.18
HMSA
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$194.98
Typical High
$239.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$162.18
Typical High
$190.55
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$2,630.27
Typical High
$5,370.32

Where Hawaii sits

The same service costs 25.1 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.

Hawaii $1,995 · 4th of 51
CA $3,162WV $126

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.