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Repair of Upper Midline Abdominal Hernia

Michigan 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?

$513

Typical physician fee. In Michigan, July 2026.

Insurers have agreed to pay about $513 for this service. Most negotiated rates run $447 to $589.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,072 · 10th to 90th $302 to $3,631Professionalmedian $501 · 10th to 90th $427 to $708
$100$200$500$1K$2K$5Kfacility $1,072professional $501

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,698.24
Typical High
$1,995.26
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,071.52
Typical High
$1,258.93
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$501.19
Typical High
$676.08
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,621.81
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$346.74
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$457.09
Typical High
$549.54

Where Michigan 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.

Michigan· 42nd of 49

$513

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.