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Groin Hernia Repair, Premature Newborn

New Mexico 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?

$851

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $832 from a physician practice, and about $1,096 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$832$759 to $1,122
FacilityA hospital or hospital-owned outpatient department$1,096$891 to $1,479

How much rates vary

Facilitymedian $1,096 · 10th to 90th $776 to $2,291Professionalmedian $832 · 10th to 90th $708 to $1,318
$50$200$1K$5Kfacility $1,096professional $832

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
$1,000.00
Median
$2,041.74
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$812.83
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,071.52
Typical High
$1,548.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,174.90
Providence
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,023.29
Typical High
$1,698.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,148.15
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$9,549.93
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,659.59

Where New Mexico 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 Mexico· 46th of 51

$851

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.