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Groin Hernia Repair, Premature Newborn

Washington, DC 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?

$912

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $912 for this service. Most negotiated rates run $832 to $955.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,129 · 10th to 90th $933 to $7,762Professionalmedian $891 · 10th to 90th $676 to $1,175
$1K$2K$5K$10K$20Kfacility $5,129professional $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
$933.25
Median
$5,128.61
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$891.25
Typical High
$954.99
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$831.76
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$912.01
Typical High
$2,238.72
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$851.14
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$10,000.00
Typical High
$31,622.78
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$933.25
Typical High
$1,995.26

Where Washington, DC 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.

Washington, DC· 34th of 51

$912

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.