Repair of Upper Midline Abdominal Hernia

Nationwide rates for HCPCS 49570

Surgery to repair an epigastric hernia, a bulge through a weak spot in the midline of the abdominal wall between the navel and the breastbone, usually containing a small plug of fat. It is done when the bulge can still be pushed back in. The surgeon makes a small incision over the site, returns the tissue, and closes the gap.

Rates data updated July 2026.

How much does Repair of Upper Midline Abdominal Hernia cost?

$5,012

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $5,012 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $6,761 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 28 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$871	$468 to $1,905
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$6,761	$4,571 to $10,233

How much rates vary

Facilitymedian $6,761 · 10th to 90th $1,862 to $15,136Professionalmedian $871 · 10th to 90th $380 to $3,090

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
BCBS Setting Facility Modifier Global Typical Low $2,818.38 Median $7,413.10 Typical High $15,135.61	Facility	Global	$2,818.38	$7,413.10	$15,135.61
Cigna Setting Facility Modifier Global Typical Low $1,047.13 Median $1,412.54 Typical High $3,890.45	Facility	Global	$1,047.13	$1,412.54	$3,890.45
Cigna Setting Professional Modifier Global Typical Low $758.58 Median $1,174.90 Typical High $1,862.09	Professional	Global	$758.58	$1,174.90	$1,862.09
United Setting Facility Modifier Global Typical Low $436.52 Median $1,905.46 Typical High $6,760.83	Facility	Global	$436.52	$1,905.46	$6,760.83
United Setting Professional Modifier Global Typical Low $60.26 Median $436.52 Typical High $630.96	Professional	Global	$60.26	$436.52	$630.96

What it costs in each state

The same service costs 389.0 times more in Connecticut 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.

Touch or drag across the chart to see any state's rate.

CT $11,749ID $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.