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Open Inguinal Hernia Repair, First-Time

North Dakota 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 $5,495 · 10th–90th $513$12,0230%10%20%10th90th$5,495Professionalmedian $851 · 10th–90th $479$1,3490%10%20%10th90th$851$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$512.86
Median
$6,606.93
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$776.25
Typical High
$1,288.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,148.15
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$954.99
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$794.33
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$870.96
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$5,370.32
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$724.44
Typical High
$1,174.90