go back

Groin Hernia Repair, Premature Newborn

Illinois 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 Illinois, July 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $933 from a physician practice, and about $3,236 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 6 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$794 to $1,318
FacilityA hospital or hospital-owned outpatient department$3,236$1,514 to $5,623

How much rates vary

Facilitymedian $3,236 · 10th to 90th $871 to $9,772Professionalmedian $933 · 10th to 90th $708 to $2,042
$500$1K$2K$5K$10K$20Kfacility $3,236professional $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
$870.96
Median
$2,454.71
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$1,621.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$8,709.64
Typical High
$14,125.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,000.00
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$6,309.57
Typical High
$10,964.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,071.52
Typical High
$1,778.28
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,584.89
Typical High
$4,466.84
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,047.13
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$5,128.61
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,000.00
Typical High
$1,698.24

Where Illinois 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.

Illinois· 24th 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.