go back

Synthetic Mesh Reinforcement Of The Abdominal Wall

New York 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?

$316

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $257 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 8 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$257$174 to $324
FacilityA hospital or hospital-owned outpatient department$4,365$2,630 to $6,607

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,585 to $10,233Professionalmedian $257 · 10th to 90th $151 to $457
$200$1K$5K$20Kfacility $4,365professional $257

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
$1,513.56
Median
$4,168.69
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$645.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,332.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$707.95
Typical High
$707.95
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$562.34
Typical High
$1,174.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$346.74
Typical High
$724.44
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$416.87
Typical High
$676.08
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,511.89
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$323.59
Typical High
$741.31
Univera
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Univera
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$575.44

Where New York 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.

New York· 25th of 51

$316

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.