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Repair of Abdominal Wall Hernia, Trapped

North Carolina 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?

$5,754

Typical physician fee. In North Carolina, July 2026.

Insurers have agreed to pay about $5,754 for this service. Most negotiated rates run $3,802 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 $3,548 · 10th to 90th $324 to $50,119Professionalmedian $5,754 · 10th to 90th $4,169 to $5,754
$1$10$100$1K$10Kfacility $3,548professional $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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,168.69
Typical High
$5,888.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,584.89
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$50,118.72
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,754.40

Where North Carolina 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.

North Carolina· 15th of 49

$5,754

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.