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Repair of a Trapped Groin Hernia

South Dakota rates for HCPCS 49507

Open repair of a first-time groin hernia in a patient aged five or older where the bulging tissue has become stuck and can no longer be pushed back in. The surgeon frees the trapped contents, checks that the bowel or fat caught in the hernia is still healthy, then closes the weak spot, usually reinforcing it with mesh. Trapped hernias are dealt with urgently because a squeezed loop of bowel can lose its blood supply.

Rates data updated July 2026.

How much does Repair of a Trapped Groin Hernia cost?

$1,000

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,000 for this service. Most negotiated rates run $741 to $1,318.

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 $4,365 · 10th to 90th $661 to $9,120Professionalmedian $977 · 10th to 90th $724 to $1,202
$500$1K$2K$5K$10Kfacility $4,365professional $977

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$6,165.95
Typical High
$14,791.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$912.01
Typical High
$1,621.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,318.26
Typical High
$1,318.26
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$954.99
Typical High
$1,148.15
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$7,244.36

Where South Dakota sits

The same service costs 22.4 times more in Maine than in North Dakota. 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.

South Dakota· 47th of 50

$1,000

ME $12,882ND $575

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.