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Open Repair of Returned, Trapped Groin Hernia

West Virginia rates for HCPCS 49521

Repairs through an open incision a groin hernia that has come back after a previous repair and is stuck, meaning the bulging tissue cannot be pushed back in or its blood supply is being cut off. The surgeon frees the trapped tissue, checks that it is healthy, removes any that is not, and closes the weak spot, often with mesh. Scarring from the earlier operation makes this more demanding than a first-time repair.

Rates data updated July 2026.

How much does Open Repair of Returned, Trapped Groin Hernia cost?

$5,754

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $5,754 for this service. Most negotiated rates run $1,202 to $5,754.

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 $5,754 · 10th to 90th $741 to $5,754
$1K$2K$5K$10Kfacility $5,754

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
$741.31
Median
$5,754.40
Typical High
$5,754.40
CareSource
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$19,952.62
Typical High
$19,952.62
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,235.94
Typical High
$18,197.01

Where West Virginia sits

The same service costs 18.6 times more in Wyoming 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.

West Virginia· 12th of 50

$5,754

WY $13,183ND $708

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.