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Emergency Groin Hernia Repair, Premature Infant

Nationwide rates for HCPCS 49492

This service repairs a groin (inguinal) hernia in a very young or premature infant whose hernia has become trapped and cannot be pushed back in on its own. Because a trapped hernia can cut off blood flow to the trapped tissue, this repair is done urgently rather than on a scheduled basis. It corrects the hernia during the infant's earliest weeks of life.

Rates data updated July 2026.

How much does Emergency Groin Hernia Repair, Premature Infant cost?

$1,202

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,122 from a physician practice, and about $5,129 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 67 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$1,122$955 to $1,514
FacilityA hospital or hospital-owned outpatient department$5,129$1,862 to $9,120

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,072 to $13,490Professionalmedian $1,122 · 10th to 90th $851 to $2,512
$500$1K$2K$5K$10K$20Kfacility $5,129professional $1,122

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
$1,122.02
Median
$4,897.79
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,023.29
Typical High
$1,905.46
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$8,317.64
Typical High
$16,218.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,584.89
Typical High
$8,912.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,258.93
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$4,897.79
Typical High
$11,481.54
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,230.27
Typical High
$2,454.71

What it costs in each state

The same service costs 2.6 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.

Touch or drag across the chart to see any state's rate.

CA $2,455KY $955

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.