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Infant Inguinal Hernia Repair

Montana rates for HCPCS 49495

This surgery repairs a first-time inguinal hernia, a bulge in the groin where abdominal tissue pushes through a weak spot in the muscle wall, in an infant younger than 6 months old. The hernia is reducible, meaning it can be gently pushed back into place before surgery, rather than being trapped or cutting off blood supply. The surgeon closes the weak spot to prevent the tissue from bulging out again.

Rates data updated July 2026.

How much does Infant Inguinal Hernia Repair cost?

$617

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $708 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$525$380 to $692
FacilityA hospital or hospital-owned outpatient department$708$575 to $759

How much rates vary

Facilitymedian $708 · 10th to 90th $479 to $1,175Professionalmedian $525 · 10th to 90th $355 to $1,072
$100$1K$10K$100Kfacility $708professional $525

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
Professional
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$1,071.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$537.03
Typical High
$1,230.27
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$707.95
Typical High
$851.14
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$707.95
Typical High
$851.14
Providence
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$575.44
Typical High
$1,000.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$645.65
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$645.65
Typical High
$851.14

Where Montana sits

The same service costs 2.4 times more in California than in Vermont. 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.

Montana· 11th of 51

$617

CA $1,000VT $417

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.