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Emergency Groin Hernia Repair, Premature Infant

Idaho 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?

$1,318

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $1,950 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$1,318$977 to $1,778
FacilityA hospital or hospital-owned outpatient department$1,950$1,259 to $5,129

How much rates vary

Facilitymedian $1,950 · 10th to 90th $1,000 to $8,511Professionalmedian $1,318 · 10th to 90th $871 to $2,754
$1K$2K$5K$10Kfacility $1,950professional $1,318

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
$4,365.16
Median
$4,466.84
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,148.15
Typical High
$2,754.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$5,623.41
Typical High
$8,912.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,778.28
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,412.54
Typical High
$1,819.70
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,348.96
Typical High
$2,398.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,698.24
Typical High
$1,949.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$812.83
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,762.47
Typical High
$12,302.69
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,862.09
Typical High
$2,238.72
Select Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$5,128.61
Typical High
$8,317.64
Select Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$812.83
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$16,982.44
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,318.26
Typical High
$1,949.84

Where Idaho 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.

Idaho· 16th of 51

$1,318

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.