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Emergency Groin Hernia Repair, Premature Infant

Kentucky 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?

$955

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $4,677 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 6 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$955$891 to $1,148
FacilityA hospital or hospital-owned outpatient department$4,677$1,175 to $10,471

How much rates vary

Facilitymedian $4,677 · 10th to 90th $851 to $10,715Professionalmedian $955 · 10th to 90th $794 to $1,413
$50$200$1K$5Kfacility $4,677professional $955

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
$851.14
Median
$3,630.78
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$954.99
Typical High
$1,380.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$1,258.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,023.29
Typical High
$1,445.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,288.25
Typical High
$5,011.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$4,168.69
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,096.48
Typical High
$1,778.28

Where Kentucky 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.

Kentucky· 51st of 51

$955

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.