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Mesh Placement for Hernia Repair

New York rates for HCPCS 49568

Placement of a piece of surgical mesh to reinforce the abdominal wall during an open repair of a hernia at or near a previous incision, or to help close the wound after tissue has been cut away for a severe soft-tissue infection. The mesh acts as a patch that the body's own tissue grows into. It is done in addition to the main repair and is charged separately.

Rates data updated July 2026.

How much does Mesh Placement for Hernia Repair cost?

$9,120

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $9,120 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $9,120 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 5 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$372$282 to $407
FacilityA hospital or hospital-owned outpatient department$9,120$5,370 to $13,490

How much rates vary

Facilitymedian $9,120 · 10th to 90th $4,266 to $17,378Professionalmedian $372 · 10th to 90th $257 to $1,230
$500$1K$2K$5K$10K$20Kfacility $9,120professional $372

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. Small sample; interpret with caution. 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
$9,772.37
Typical High
$17,782.79
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$3,467.37
Typical High
$13,489.63
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,230.27
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$3,235.94
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$467.74

Where New York sits

The same service costs 346.7 times more in California than in South Carolina. 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.

New York· 2nd of 48

$9,120

CA $10,471SC $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.