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Repair of Upper Midline Abdominal Hernia

New Jersey 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?

$479

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $479 for this service. Most negotiated rates run $407 to $741.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,549 to $8,511Professionalmedian $479 · 10th to 90th $347 to $1,000
$500$1K$2K$5K$10Kfacility $4,266professional $479

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
$1,698.24
Median
$1,698.24
Typical High
$1,995.26
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$4,265.80
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$457.09
Typical High
$724.44

Where New Jersey 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.

New Jersey· 43rd of 49

$479

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.