Urgent Repair of a Returned Groin Hernia

Nationwide rates for HCPCS 49557

Repairs a hernia low in the groin, just below the crease where the leg meets the abdomen, which has come back after an earlier repair and in which the bulging tissue is trapped and cannot be pushed back. Because trapped tissue can lose its blood supply, the operation is usually urgent: the surgeon opens the area, frees or removes any damaged tissue, and closes the defect. Scarring from the previous surgery makes the dissection more demanding.

Rates data updated July 2026.

How much does Urgent Repair of a Returned Groin Hernia cost?

$5,989

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $5,989 for this procedure. That total is two separate charges: $977 to the doctor who performs it, and $5,012 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

16% physician fee84% facility fee

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 56 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$977	$741 to $1,549
Facility feeThe hospital or surgery center	The hospital or surgery center	$5,012	$1,698 to $9,120

How much rates vary

Facilitymedian $5,012 · 10th to 90th $871 to $13,804Professionalmedian $977 · 10th to 90th $646 to $2,818

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $1,000.00 Median $4,677.35 Typical High $12,022.64	Facility	Global	$1,000.00	$4,677.35	$12,022.64
BCBS Setting Facility Modifier Global Typical Low $3,467.37 Median $8,317.64 Typical High $16,218.10	Facility	Global	$3,467.37	$8,317.64	$16,218.10
Cigna Setting Facility Modifier Global Typical Low $891.25 Median $1,905.46 Typical High $5,754.40	Facility	Global	$891.25	$1,905.46	$5,754.40
United Setting Facility Modifier Global Typical Low $1,318.26 Median $4,897.79 Typical High $11,481.54	Facility	Global	$1,318.26	$4,897.79	$11,481.54

What it costs in each state

The same service costs 4.6 times more in California than in Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee

CA $9,671VA $2,114

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.