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Groin Hernia Repair, Premature Newborn

New Jersey 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?

$933

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $7,244 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$871$759 to $1,202
FacilityA hospital or hospital-owned outpatient department$7,244$5,888 to $10,233

How much rates vary

Facilitymedian $7,244 · 10th to 90th $2,455 to $11,749Professionalmedian $871 · 10th to 90th $661 to $2,138
$100$500$2K$10Kfacility $7,244professional $871

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
$1,380.38
Median
$7,244.36
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$851.14
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$954.99
Typical High
$1,862.09
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$1,621.81
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$17,782.79
Typical High
$30,902.95
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$7,079.46
Typical High
$14,454.40
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$891.25
Typical High
$1,737.80

Where New Jersey 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.

New Jersey· 32nd of 51

$933

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.