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Open Inguinal Hernia Repair, First-Time

Montana 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 $933 · 10th–90th $661$10,7150%20%10th90th$933Professionalmedian $794 · 10th–90th $468$1,9500%10%10th90th$794$100.0$500.0$2.0K$10.0K$50.0K

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
$5,128.61
Median
$6,918.31
Typical High
$33,113.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$794.33
Typical High
$1,949.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$75,857.76
Typical High
$95,499.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$831.76
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$707.95
Typical High
$1,584.89
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$912.01
Typical High
$1,096.48
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$912.01
Typical High
$1,096.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$741.31
Typical High
$1,288.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$831.76
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,148.15