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North Carolina rates for HCPCS 49505

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

Facilitymedian $5,012 · 10th–90th $692$9,5500%10%10th90th$5,012Professionalmedian $813 · 10th–90th $490$1,5850%10%20%10th90th$813$1.0$5.0$20.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $5,370.32 / $9,549.93
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,365.16 / $5,011.87 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $776.25 / $1,995.26
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $645.65 / $891.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $2,238.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $812.83 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,949.84 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $707.95 / $1,258.93
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $645.65 / $1,023.29
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $1,380.38
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $9,332.54 / $14,454.40
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $741.31 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $6,456.54 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $562.34 / $1,023.29
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $33,884.42
Wellcare
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$977.24 / $977.24 / $977.24
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,168.69 / $4,570.88