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Infant Inguinal Hernia Repair

New Jersey 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?

$479

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $7,244 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$447$389 to $617
FacilityA hospital or hospital-owned outpatient department$7,244$5,888 to $10,233

How much rates vary

Facilitymedian $7,244 · 10th to 90th $3,548 to $11,749Professionalmedian $447 · 10th to 90th $339 to $1,072
$500$1K$2K$5K$10Kfacility $7,244professional $447

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
$4,365.16
Median
$7,244.36
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$426.58
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$954.99
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$831.76
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$11,481.54
Typical High
$16,218.10
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$6,918.31
Typical High
$14,454.40
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$891.25

Where New Jersey 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.

New Jersey· 34th of 51

$479

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.