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Open Inguinal Hernia Repair, First-Time

Idaho 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 $7,413 · 10th–90th $832$10,0000%20%10th90th$7,413Professionalmedian $794 · 10th–90th $468$1,6600%10%10th90th$794$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
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$7,413.10
Typical High
$9,772.37
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,630.78
Median
$19,054.61
Typical High
$19,054.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$794.33
Typical High
$1,778.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,786.30
Typical High
$8,912.51
BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,715.35
Median
$7,244.36
Typical High
$13,489.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$977.24
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$758.58
Typical High
$1,000.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$831.76
Typical High
$7,413.10
Moda Health
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$19,054.61
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$912.01
Typical High
$1,380.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$7,762.47
Typical High
$12,302.69
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$9,332.54
Median
$13,182.57
Typical High
$18,620.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,000.00
Typical High
$1,096.48
Select Health
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$524.81
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$16,982.44
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$707.95
Typical High
$1,023.29