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Repair of Abdominal Wall Hernia, Trapped

California rates for HCPCS 49561

Open surgery to repair a hernia through the front of the abdominal wall, often at the site of an earlier surgical incision, where the bulging tissue is stuck and cannot be pushed back or its blood supply is being cut off. It is the first repair at that site. The surgeon frees and inspects the trapped tissue, removes any that is damaged, and closes the gap.

Rates data updated July 2026.

How much does Repair of Abdominal Wall Hernia, Trapped cost?

$7,943

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $7,943 for this service. The price depends on where it is billed: about $5,754 from a physician practice, and about $7,943 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,754$1,288 to $5,754
FacilityA hospital or hospital-owned outpatient department$7,943$5,623 to $10,471

How much rates vary

Facilitymedian $7,943 · 10th to 90th $4,571 to $15,849Professionalmedian $5,754 · 10th to 90th $794 to $5,754
$100$500$2K$10Kfacility $7,943professional $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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$7,943.28
Typical High
$15,848.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$3,467.37
Typical High
$4,365.16
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$398.11
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$50,118.72
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,754.40
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,047.13
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,023.29
Typical High
$1,659.59

Where California sits

The same service costs 407.4 times more in Indiana than in Idaho. 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.

California· 5th of 49

$7,943

IN $12,303ID $30.20

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.