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Repair of Upper Midline Abdominal Hernia

New Mexico 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 $3,236 · 10th to 90th $407 to $4,571Professionalmedian $309 · 10th to 90th $302 to $457
$500$1K$2K$5Kfacility $3,236professional $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
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$3,235.94
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$309.03
Typical High
$457.09