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Groin Hernia Repair, Premature Newborn

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $1,318 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 8 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$891$794 to $1,122
FacilityA hospital or hospital-owned outpatient department$1,318$912 to $5,623

How much rates vary

Facilitymedian $1,318 · 10th to 90th $794 to $10,000Professionalmedian $891 · 10th to 90th $724 to $1,585
$1K$2K$5K$10Kfacility $1,318professional $891

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
$5,495.41
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$1,412.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$11,220.18
Typical High
$12,302.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,023.29
Typical High
$1,584.89
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$831.76
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$912.01
Typical High
$1,513.56
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$1,445.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$977.24
Typical High
$1,778.28
Medcost
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,023.29
Typical High
$1,548.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,445.44
Sentara
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$933.25
Typical High
$3,467.37
Sentara
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$933.25
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$8,128.31
Typical High
$17,378.01
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$891.25
Typical High
$1,548.82

Where Virginia 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.

Virginia· 33rd 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.