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Groin Hernia Repair, Premature Newborn

Maine 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?

$977

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $977 for this service. Most negotiated rates run $933 to $1,549.

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.

How much rates vary

Facilitymedian $692 · 10th to 90th $692 to $12,303Professionalmedian $977 · 10th to 90th $794 to $2,042
$1K$2K$5K$10Kfacility $692professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$933.25
Typical High
$954.99
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,230.27
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,122.02
Typical High
$1,862.09
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,258.93
Typical High
$2,187.76
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$933.25
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,148.15
Typical High
$2,187.76

Where Maine 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.

Maine· 26th of 51

$977

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.