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Open Inguinal Hernia Repair, First-Time

Vermont 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.

Rates data updated July 2026.

How much does Open Inguinal Hernia Repair, First-Time cost?

$537

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $537 for this service. Most negotiated rates run $513 to $676.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,943 · 10th to 90th $5,012 to $8,318Professionalmedian $537 · 10th to 90th $501 to $2,239
$500$1K$2K$5Kfacility $7,943professional $537

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$537.03
Typical High
$2,570.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,165.95
Typical High
$8,317.64
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$707.95
Typical High
$1,148.15
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$707.95
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$1,258.93

Where Vermont sits

The same service costs 2.2 times more in Minnesota than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 51st of 51

$537

MN $1,175VT $537

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.