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Groin Hernia Repair, Premature Newborn

Idaho 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?

$1,096

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $1,585 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$813 to $1,445
FacilityA hospital or hospital-owned outpatient department$1,585$1,023 to $5,623

How much rates vary

Facilitymedian $1,585 · 10th to 90th $832 to $12,023Professionalmedian $1,096 · 10th to 90th $708 to $1,622
$1K$2K$5K$10Kfacility $1,585professional $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
$3,388.44
Median
$4,466.84
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$2,290.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$6,918.31
Typical High
$14,791.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,479.11
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,174.90
Typical High
$1,479.11
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$2,041.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,380.38
Typical High
$1,621.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$691.83
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$12,882.50
Typical High
$19,054.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$1,862.09
Select Health
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$5,754.40
Typical High
$9,332.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$691.83
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$16,982.44
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,096.48
Typical High
$1,621.81

Where Idaho 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.

Idaho· 16th of 51

$1,096

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.