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Groin Hernia Repair, Premature Newborn

Kentucky 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?

$794

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $794 for this service. The price depends on where it is billed: about $794 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$794$708 to $955
FacilityA hospital or hospital-owned outpatient department$3,236$977 to $9,772

How much rates vary

Facilitymedian $3,236 · 10th to 90th $759 to $10,715Professionalmedian $794 · 10th to 90th $661 to $1,175
$50$200$1K$5Kfacility $3,236professional $794

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
$758.58
Median
$3,235.94
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$794.33
Typical High
$1,174.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$1,047.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$851.14
Typical High
$1,202.26
CareSource
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$933.25
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,071.52
Typical High
$4,073.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$4,168.69
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$912.01
Typical High
$1,479.11

Where Kentucky 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.

Kentucky· 51st of 51

$794

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.