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Groin Hernia Repair, Premature Newborn

Iowa 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?

$1,259

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $4,786 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$1,096$794 to $1,622
FacilityA hospital or hospital-owned outpatient department$4,786$1,622 to $7,079

How much rates vary

Facilitymedian $4,786 · 10th to 90th $955 to $12,303Professionalmedian $1,096 · 10th to 90th $676 to $2,951
$1K$2K$5K$10Kfacility $4,786professional $1,096

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
$1,318.26
Median
$5,248.07
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,778.28
Typical High
$2,238.72
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,445.44
Typical High
$3,467.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,621.81
Typical High
$13,182.57
Medica
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,445.44
Typical High
$7,244.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,778.28
Typical High
$2,187.76
Midlands
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,513.56
Typical High
$2,187.76
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,412.54
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$8,128.31
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$2,137.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,698.24
Typical High
$1,862.09

Where Iowa 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.

Iowa· 7th of 51

$1,259

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.