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Groin Hernia Repair, Premature Newborn

Nationwide rates for HCPCS 49491

Surgery to repair an inguinal hernia, a bulge in the groin where tissue pushes through a weak spot in the abdominal wall, in a baby born prematurely and operated on during the newborn period. It covers the situation where the bulge can still be pushed back into place, and a fluid-filled sac around the testicle may be dealt with in the same operation.

Rates data updated July 2026.

How much does Groin Hernia Repair, Premature Newborn cost?

$1,000

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $933 from a physician practice, and about $5,248 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 67 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$933$776 to $1,259
FacilityA hospital or hospital-owned outpatient department$5,248$1,622 to $9,772

How much rates vary

Facilitymedian $5,248 · 10th to 90th $891 to $14,454Professionalmedian $933 · 10th to 90th $708 to $2,042
$100$500$2K$10Kfacility $5,248professional $933

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
$954.99
Median
$4,570.88
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$1,584.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$9,772.37
Typical High
$19,952.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$891.25
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,348.96
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,047.13
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$5,128.61
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,000.00
Typical High
$2,041.74

What it costs in each state

The same service costs 2.4 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.

Touch or drag across the chart to see any state's rate.

CA $1,905KY $794

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.