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Groin Hernia Repair, Premature Newborn

Indiana 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?

$871

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $832 from a physician practice, and about $18,197 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 5 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$832$759 to $1,023
FacilityA hospital or hospital-owned outpatient department$18,197$9,120 to $26,303

How much rates vary

Facilitymedian $18,197 · 10th to 90th $1,380 to $30,200Professionalmedian $832 · 10th to 90th $708 to $1,318
$1K$2K$5K$10K$20K$50Kfacility $18,197professional $832

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
$851.14
Median
$4,897.79
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$812.83
Typical High
$1,174.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$23,988.33
Typical High
$31,622.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,348.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$776.25
Typical High
$891.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$954.99
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$7,413.10
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$831.76
Typical High
$1,348.96

Where Indiana 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.

Indiana· 43rd of 51

$871

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.