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Synthetic Mesh Reinforcement Of The Abdominal Wall

California rates for HCPCS 0437T

Places a sheet of synthetic mesh to strengthen the tough tissue layer of the abdominal wall. It is performed alongside a primary operation and charged in addition to it. The primary procedure is charged separately.

Rates data updated July 2026.

How much does Synthetic Mesh Reinforcement Of The Abdominal Wall cost?

$1,778

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $4,365 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 9 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$282$182 to $355
FacilityA hospital or hospital-owned outpatient department$4,365$2,818 to $6,310

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,349 to $13,490Professionalmedian $282 · 10th to 90th $59 to $1,230
$50$200$1K$5K$20Kfacility $4,365professional $282

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
$1,737.80
Median
$5,888.44
Typical High
$17,378.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$1,258.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,365.16
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$213.80
Typical High
$288.40
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$64.57
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$724.44
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$323.59
Typical High
$389.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$51.29
Typical High
$85.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Providence
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$257.04
Typical High
$467.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$87.10
Typical High
$436.52
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$43.65
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,548.82
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$316.23
Typical High
$588.84

Where California sits

The same service costs 6.9 times more in California than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 1st of 51

$1,778

CA $1,778KY $257

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.