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Repair of Upper Midline Abdominal Hernia

New York 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?

$5,495

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $5,495 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $5,495 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 5 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$589$457 to $603
FacilityA hospital or hospital-owned outpatient department$5,495$4,074 to $8,913

How much rates vary

Facilitymedian $5,495 · 10th to 90th $3,311 to $12,882Professionalmedian $589 · 10th to 90th $407 to $1,995
$500$1K$2K$5K$10Kfacility $5,495professional $589

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
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,398.83
Typical High
$10,964.78
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,995.26
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$3,235.94
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$457.09
Typical High
$602.56

Where New York 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 York· 6th of 49

$5,495

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.