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Synthetic Mesh Reinforcement Of The Abdominal Wall

Texas 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?

$302

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $1,778 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$282$257 to $324
FacilityA hospital or hospital-owned outpatient department$1,778$468 to $3,715

How much rates vary

Facilitymedian $1,778 · 10th to 90th $275 to $5,888Professionalmedian $282 · 10th to 90th $178 to $398
$100$200$500$1K$2K$5K$10Kfacility $1,778professional $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
$575.44
Median
$2,454.71
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$354.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,981.07
Typical High
$8,511.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$2,137.96
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$380.19
Typical High
$707.95
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$295.12
Typical High
$512.86
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$295.12
Typical High
$524.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$891.25
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$323.59
Typical High
$501.19
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$302.00

Where Texas 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.

Texas· 33rd of 51

$302

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.