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Open Inguinal Hernia Repair, First-Time

Utah 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 $7,079 · 10th–90th $3,467$10,0000%10%10th90th$7,079Professionalmedian $708 · 10th–90th $468$1,8620%10%20%10th90th$708$50.0$200.0$1.0K$5.0K$20.0K

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
$4,168.69
Median
$7,079.46
Typical High
$10,000.00
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,467.37
Median
$6,760.83
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$707.95
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$660.69
Typical High
$1,096.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,122.02
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,918.31
Typical High
$10,471.29
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$7,585.78
Median
$10,471.29
Typical High
$15,848.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$812.83
Typical High
$1,096.48
Select Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,096.48
Typical High
$1,318.26
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$776.25
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$575.44
Typical High
$912.01