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Mesh Placement for Hernia Repair

Washington 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?

$398

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $407 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$389$324 to $562
FacilityA hospital or hospital-owned outpatient department$407$339 to $562

How much rates vary

Facilitymedian $407 · 10th to 90th $263 to $708Professionalmedian $389 · 10th to 90th $240 to $661
$200$500$1K$2K$5Kfacility $407professional $389

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
$457.09
Median
$977.24
Typical High
$1,230.27
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$398.11
Typical High
$707.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$645.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$79.43
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$331.13
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$371.54
Typical High
$512.86

Where Washington 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.

Washington· 40th of 48

$398

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.