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Lumbar Hernia Repair

Wyoming rates for HCPCS 49540

Repairs a hernia in the muscular wall of the flank, in the lower back between the ribs and the hip. The bulging tissue is pushed back into place and the weak spot in the wall is closed and reinforced. Hernias in this location are uncommon and often follow an injury or earlier surgery.

Rates data updated October 2026.

How much does Lumbar Hernia Repair cost?

$8,255

Typical total for the visit. In Wyoming, October 2026.

Insurers have agreed to pay about $8,255 for this procedure. That total is two separate charges: $2,089 to the doctor who performs it, and $6,166 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,089$1,318 to $2,692
Facility feeThe hospital or surgery center$6,166$4,467 to $6,166

How much rates vary

Facilitymedian $6,166 · 10th to 90th $3,631 to $7,586Professionalmedian $2,089 · 10th to 90th $933 to $3,236
$1K$2K$5K$10Kfacility $6,166professional $2,089

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
Facility
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$691.83
Typical High
$691.83
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$2,691.53
Typical High
$3,235.94
BCBS Wyoming
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,778.28
Median
$3,162.28
Typical High
$4,897.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$7,244.36
Typical High
$10,232.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$933.25
Typical High
$1,584.89
United
Setting
Facility
Modifier
None
Typical Low
$2,137.96
Median
$4,168.69
Typical High
$14,125.38
United
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$1,230.27
Typical High
$2,290.87

Where Wyoming sits

The same service costs 4.3 times more in Colorado than in Montana. 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.

Physician feeFacility fee

Wyoming· 4th of 51

$8,255

$2,089 physician + $6,166 facility

CO $9,423MT $2,194

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.