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Open Inguinal Hernia Repair, First-Time

Delaware 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.

Rates data updated July 2026.

How much does Open Inguinal Hernia Repair, First-Time cost?

$7,629

Typical total for the visit. In Delaware, July 2026.

Insurers have agreed to pay about $7,629 for this procedure. That total is two separate charges: $550 to the doctor who performs it, and $7,079 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$550$513 to $631
Facility feeThe hospital or surgery center$7,079$525 to $9,772

How much rates vary

Facilitymedian $7,079 · 10th to 90th $525 to $17,783Professionalmedian $550 · 10th to 90th $447 to $1,072
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $7,079professional $550

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$7,079.46
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$549.54
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$954.99
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$4,265.80
Typical High
$18,620.87
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$19,952.62
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,258.93
Typical High
$2,187.76
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$537.03
Typical High
$891.25

Where Delaware sits

The same service costs 6.2 times more in Maine than in Montana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeDelaware $7,629 · 12th of 51
ME $10,418MT $1,688

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.