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Emergency Groin Hernia Repair, Premature Infant

Tennessee 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?

$1,072

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $3,467 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 5 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$1,047$955 to $1,318
FacilityA hospital or hospital-owned outpatient department$3,467$2,399 to $5,623

How much rates vary

Facilitymedian $3,467 · 10th to 90th $1,122 to $6,918Professionalmedian $1,047 · 10th to 90th $851 to $1,905
$100$200$500$1K$2K$5K$10Kfacility $3,467professional $1,047

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
$2,951.21
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,000.00
Typical High
$1,659.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,981.07
Typical High
$5,888.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,380.38
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$524.81
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,202.26
Typical High
$2,089.30
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$9,772.37
Typical High
$9,772.37
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$8,317.64
Typical High
$8,317.64
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$4,168.69
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,071.52
Typical High
$1,819.70

Where Tennessee 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.

Tennessee· 37th of 51

$1,072

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.