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Infant Inguinal Hernia Repair

Vermont 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 October 2026.

How much does Infant Inguinal Hernia Repair cost?

$575

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $575 for this service. Most negotiated rates run $490 to $692.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,188 · 10th to 90th $575 to $3,890Professionalmedian $575 · 10th to 90th $417 to $813
$500$1K$2Kfacility $2,188professional $575

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$416.87
Typical High
$616.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$691.83
Typical High
$691.83
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$549.54
Typical High
$1,071.52
United
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
United
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$575.44
Typical High
$831.76

Where Vermont sits

The same service costs 5.6 times more in Alaska than in Utah. 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.

Vermont· 23rd of 51

$575

AK $1,660UT $295

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.