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Massachusetts rates for HCPCS 49501

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

Facilitymedian $3,388 · 10th–90th $646–$6,4570%10%10th90th$3,388Professionalmedian $759 · 10th–90th $575–$1,8200%10%10th90th$759$100.0$500.0$2.0K$10.0K$50.0K

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
$1,949.84 / $3,630.78 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $660.69 / $1,698.24
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $5,011.87 / $50,118.72
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $891.25 / $4,677.35
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,187.76 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,949.84 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $812.83 / $1,659.59
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $794.33 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $776.25 / $1,148.15
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $4,570.88 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,071.52 / $1,659.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $5,011.87 / $50,118.72
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $891.25 / $4,677.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $4,265.80 / $9,549.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $954.99 / $1,819.70