go back

Open Inguinal Hernia Repair, First-Time

Indiana 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 $9,772 · 10th–90th $759$18,6210%10%10th90th$9,772Professionalmedian $741 · 10th–90th $490$1,3800%10%10th90th$741$100.0$500.0$2.0K$10.0K

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
$707.95
Median
$7,762.47
Typical High
$15,488.17
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$6,760.83
Median
$14,791.08
Typical High
$20,892.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$776.25
Typical High
$1,479.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$707.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$10,471.29
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$562.34
Typical High
$912.01
CareSource
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$602.56
Typical High
$707.95
CareSource
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$602.56
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$676.08
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$7,762.47
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$891.25