go back

Groin Hernia Repair, Premature Newborn

Colorado 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?

$1,023

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $6,761 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 7 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$891$794 to $1,175
FacilityA hospital or hospital-owned outpatient department$6,761$1,259 to $12,589

How much rates vary

Facilitymedian $6,761 · 10th to 90th $813 to $21,380Professionalmedian $891 · 10th to 90th $708 to $2,089
$100$1K$10Kfacility $6,761professional $891

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
$812.83
Median
$4,897.79
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$2,290.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$15,488.17
Typical High
$27,542.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,047.13
Typical High
$1,584.89
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,023.29
Typical High
$1,584.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,071.52
Typical High
$3,548.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,412.54
Typical High
$1,584.89
Select Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$6,918.31
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,071.52
Typical High
$1,659.59

Where Colorado sits

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.

Colorado· 22nd of 51

$1,023

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.