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Illinois rates for HCPCS 49505

Repair initial inguinal hernia, age 5 years or older; reducible

Facilitymedian $6,761 · 10th–90th $1,023$16,2180%5%10th90th$6,761Professionalmedian $776 · 10th–90th $490$1,6220%5%10%10th90th$776$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $6,165.95 / $15,135.61
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,897.79 / $13,182.57 / $26,302.68
Aetna
Facility/Professional
Facility
Modifier
80
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $794.33 / $1,698.24
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $501.19 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $5,128.61 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $707.95 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $5,754.40 / $10,964.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $691.83 / $1,174.90
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $933.25 / $2,570.40
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $676.08 / $758.58
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $741.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $4,365.16 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $660.69 / $1,096.48