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Open Inguinal Hernia Repair, First-Time

Rhode Island 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 $5,129 · 10th–90th $2,884$8,9130%10%20%10th90th$5,129Professionalmedian $646 · 10th–90th $490$2,0420%10%10th90th$646$500.0$1.0K$2.0K$5.0K$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
$3,019.95
Median
$5,128.61
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$645.65
Typical High
$2,089.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,162.28
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$707.95
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$4,265.80
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$1,122.02