go back

North Carolina rates for HCPCS 49500

Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible

Facilitymedian $3,715 · 10th–90th $427$10,0000%10%10th90th$3,715Professionalmedian $537 · 10th–90th $398$1,1480%20%10th90th$537$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$616.60 / $5,248.07 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $537.03 / $1,202.26
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $537.03 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $3,715.35 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $549.54 / $1,000.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $501.19 / $812.83
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $1,096.48
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $588.84 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $6,456.54 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $436.52 / $776.25
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $19,054.61 / $33,884.42
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $7,244.36 / $7,244.36