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Groin Hernia Repair, Premature Newborn

Massachusetts 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?

$1,072

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $3,090 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$977$794 to $1,660
FacilityA hospital or hospital-owned outpatient department$3,090$1,950 to $4,677

How much rates vary

Facilitymedian $3,090 · 10th to 90th $708 to $7,079Professionalmedian $977 · 10th to 90th $708 to $2,344
$100$200$500$1K$2K$5K$10Kfacility $3,090professional $977

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
$1,949.84
Median
$3,388.44
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$812.83
Typical High
$2,089.30
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,162.28
Typical High
$15,488.17
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,174.90
Typical High
$7,244.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,584.89
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$1,071.52
Typical High
$2,137.96
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,071.52
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$1,513.56
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$4,570.88
Typical High
$11,220.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,380.38
Typical High
$2,137.96
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,162.28
Typical High
$15,488.17
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,174.90
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$4,570.88
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,348.96
Typical High
$2,398.83

Where Massachusetts 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.

Massachusetts· 18th of 51

$1,072

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.