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Groin Hernia Repair, Premature Newborn

South 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?

$933

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $2,188 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 6 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$912$776 to $1,072
FacilityA hospital or hospital-owned outpatient department$2,188$977 to $11,749

How much rates vary

Facilitymedian $2,188 · 10th to 90th $851 to $20,417Professionalmedian $912 · 10th to 90th $708 to $1,380
$50$200$1K$5K$20Kfacility $2,188professional $912

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
$933.25
Median
$12,022.64
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$933.25
Typical High
$1,318.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$7,943.28
Typical High
$13,489.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$831.76
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$977.24
Typical High
$1,819.70
Medcost
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$977.24
Typical High
$1,148.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,000.00
Typical High
$1,621.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$12,302.69
Typical High
$23,988.33
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$851.14
Typical High
$1,412.54

Where South 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.

South Carolina· 29th 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.