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Repair Of A Tear In The Diaphragm

Virginia rates for HCPCS 39501

Stitches closed a tear in the diaphragm, the sheet of muscle that separates the chest from the abdomen and drives breathing. Tears usually follow a severe injury such as a car crash, a fall from height, or a stab wound. Repairing the tear stops abdominal organs from pushing up into the chest and crowding the lung.

Rates data updated July 2026.

How much does Repair Of A Tear In The Diaphragm cost?

$5,370

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $5,370 for this service. Most negotiated rates run $1,288 to $15,488.

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 $5,623 · 10th to 90th $955 to $21,380Professionalmedian $1,047 · 10th to 90th $776 to $1,995
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $5,623professional $1,047

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$5,011.87
Typical High
$14,125.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$19,054.61
Typical High
$26,302.68
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$933.25
Typical High
$2,454.71
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,380.38
Typical High
$1,995.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,174.90
Typical High
$1,778.28
Sentara
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,122.02
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,388.44
Typical High
$7,079.46

Where Virginia sits

The same service costs 26.9 times more in Maine than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Virginia $5,370 · 15th of 50
ME $22,387ND $832

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.