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Repair of Upper Midline Abdominal Hernia

California 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?

$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 $2,884 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$2,884$631 to $2,884
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 $2,884 · 10th to 90th $380 to $2,884
$100$500$2K$10Kfacility $7,943professional $2,884

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
$660.69
Median
$1,584.89
Typical High
$1,995.26
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
$33,884.42
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
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
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$758.58

Where California sits

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.

California· 4th of 49

$7,943

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.