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Repair of a Trapped Groin Hernia

Vermont 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 October 2026.

How much does Repair of a Trapped Groin Hernia cost?

$871

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $871 for this service. Most negotiated rates run $794 to $1,000.

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 $2,188 · 10th to 90th $1,230 to $3,890Professionalmedian $851 · 10th to 90th $646 to $1,175
$200$500$1K$2Kfacility $2,188professional $851

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$660.69
Typical High
$891.25
BCBS
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$851.14
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,000.00
Typical High
$1,000.00
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$794.33
Typical High
$1,513.56
United
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
United
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$812.83
Typical High
$1,202.26

Where Vermont sits

The same service costs 5.6 times more in Alaska than in Texas. 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· 18th of 51

$871

AK $2,399TX $427

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.