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Emergency Groin Hernia Repair, Premature Infant

South 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?

$1,122

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $2,570 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$1,072$933 to $1,259
FacilityA hospital or hospital-owned outpatient department$2,570$1,175 to $12,023

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,023 to $20,417Professionalmedian $1,072 · 10th to 90th $851 to $1,778
$50$200$1K$5K$20Kfacility $2,570professional $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
$12,022.64
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,071.52
Typical High
$1,778.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$7,943.28
Typical High
$13,489.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,174.90
Typical High
$2,238.72
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,230.27
Typical High
$1,445.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,230.27
Typical High
$1,995.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$12,302.69
Typical High
$20,417.38
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,047.13
Typical High
$1,778.28

Where South 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.

South Carolina· 33rd of 51

$1,122

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.