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Texas rates for HCPCS 49496

Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulated

Facilitymedian $3,467 · 10th–90th $692$11,2200%10%10th90th$3,467Professionalmedian $676 · 10th–90th $550$1,1480%20%10th90th$676$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $660.69 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $4,897.79 / $9,549.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $691.83 / $954.99
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $2,187.76 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $776.25 / $1,288.25
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $33,884.42 / $33,884.42
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,370.32 / $5,370.32
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $812.83 / $2,454.71
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $707.95 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $524.81
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,096.48 / $1,479.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $776.25 / $1,380.38
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $776.25 / $1,412.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $4,365.16 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $676.08 / $1,023.29
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $630.96 / $724.44