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Infant Inguinal Hernia Repair

South Dakota 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 South Dakota, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $676 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$617$398 to $891
FacilityA hospital or hospital-owned outpatient department$676$468 to $1,023

How much rates vary

Facilitymedian $676 · 10th to 90th $372 to $4,365Professionalmedian $617 · 10th to 90th $339 to $1,148
$500.0$1.0K$2.0K$5.0Kfacility $676professional $617

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
$398.11
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$371.54
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$912.01
Typical High
$1,148.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$630.96
Typical High
$1,071.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$616.60
Typical High
$4,677.35
Midlands
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$630.96
Typical High
$1,047.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,023.29
Typical High
$1,023.29

Where South Dakota sits

The same service costs 2.4 times more in California than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $617 · 12th of 51
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.