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Repair of Upper Midline Abdominal Hernia

Colorado 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 rates vary

Facilitymedian $9,550 · 10th to 90th $4,786 to $15,136Professionalmedian $309 · 10th to 90th $282 to $309
$500$1K$2K$5K$10K$20Kfacility $9,550professional $309

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
$4,786.30
Median
$9,549.93
Typical High
$15,135.61
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$8,511.38
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$309.03
Typical High
$309.03