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Emergency Groin Hernia Repair, Premature Infant

North Carolina 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?

$1,380

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,380 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 7 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$1,380$1,072 to $1,862
FacilityA hospital or hospital-owned outpatient department$1,318$1,000 to $1,905

How much rates vary

Facilitymedian $1,318 · 10th to 90th $955 to $8,710Professionalmedian $1,380 · 10th to 90th $933 to $2,692
$1K$2K$5K$10Kfacility $1,318professional $1,380

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
$954.99
Median
$1,905.46
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,023.29
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,380.38
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,288.25
Typical High
$2,290.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$1,819.70
Medcost
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$2,570.40
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$5,623.41
Typical High
$14,454.40
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$1,862.09
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$9,772.37
Typical High
$9,772.37
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$8,317.64

Where North Carolina 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.

North Carolina· 12th of 51

$1,380

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.