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Groin Hernia Repair, Premature Newborn

North Carolina 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?

$1,122

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $1,122 from a physician practice, and about $1,072 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 7 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$1,122$871 to $1,549
FacilityA hospital or hospital-owned outpatient department$1,072$832 to $1,660

How much rates vary

Facilitymedian $1,072 · 10th to 90th $794 to $8,511Professionalmedian $1,122 · 10th to 90th $741 to $2,089
$500$1K$2K$5K$10Kfacility $1,072professional $1,122

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
$794.33
Median
$1,288.25
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$870.96
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,122.02
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,905.46
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$954.99
Typical High
$1,513.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$2,137.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$5,623.41
Typical High
$14,454.40
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$831.76
Typical High
$1,548.82
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$16,982.44
Typical High
$16,982.44
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$7,244.36
Typical High
$7,244.36

Where North Carolina 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.

North Carolina· 12th of 51

$1,122

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.