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Emergency Groin Hernia Repair, Premature Infant

Washington, DC 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?

$1,096

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $1,096 for this service. Most negotiated rates run $1,000 to $1,148.

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.

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,122 to $7,762Professionalmedian $1,072 · 10th to 90th $832 to $1,413
$1K$2K$5K$10K$20Kfacility $5,495professional $1,072

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
$4,786.30
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,071.52
Typical High
$1,148.15
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$954.99
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,122.02
Typical High
$2,691.53
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,000.00
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$10,000.00
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,122.02
Typical High
$2,398.83

Where Washington, DC sits

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.

Washington, DC· 35th of 51

$1,096

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.