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Groin Hernia Repair, Premature Newborn

Utah 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?

$1,072

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $6,026 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$1,023$813 to $1,445
FacilityA hospital or hospital-owned outpatient department$6,026$3,388 to $7,943

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,023 to $10,233Professionalmedian $1,023 · 10th to 90th $676 to $2,291
$50$200$1K$5Kfacility $6,026professional $1,023

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
$1,023.29
Median
$4,570.88
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,023.29
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,000.00
Typical High
$1,659.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,737.80
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$11,481.54
Typical High
$17,378.01
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,174.90
Typical High
$1,621.81
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,412.54
Typical High
$1,621.81
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,174.90
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$891.25
Typical High
$1,380.38

Where Utah 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.

Utah· 21st of 51

$1,072

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.