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Urgent Repair of a Returned Groin Hernia

Vermont 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 October 2026.

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

$1,047

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $1,047 for this service. Most negotiated rates run $933 to $1,202.

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.

How much rates vary

Facilitymedian $2,188 · 10th to 90th $1,230 to $3,890Professionalmedian $1,023 · 10th to 90th $759 to $1,413
$200$500$1K$2Kfacility $2,188professional $1,023

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
$691.83
Median
$758.58
Typical High
$977.24
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
$933.25
Median
$1,202.26
Typical High
$1,202.26
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$977.24
Typical High
$1,862.09
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
$794.33
Median
$1,000.00
Typical High
$1,445.44

Where Vermont sits

The same service costs 6.0 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· 19th of 51

$1,047

AK $2,951TX $490

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.