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Open Inguinal Hernia Repair, First-Time

Washington, DC rates for HCPCS 49505

A surgeon repairs a groin hernia, where tissue has pushed through a weak spot in the abdominal wall, using an open surgical incision rather than small laparoscopic ports. This version is for a hernia that has not been repaired before and can still be pushed back into place before surgery. Mesh may be used to reinforce the area, depending on the case.

Facilitymedian $5,248 · 10th–90th $1,380$7,5860%10%20%10th90th$5,248Professionalmedian $759 · 10th–90th $501$1,4130%10%10th90th$759$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$5,128.61
Typical High
$6,760.83
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,311.31
Median
$5,888.44
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$776.25
Typical High
$1,412.54
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$549.54
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$1,479.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$562.34
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$10,000.00
Typical High
$26,915.35
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$575.44
Typical High
$1,148.15