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Repair of Upper Midline Abdominal Hernia

South Carolina 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?

$30.20

Typical physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $30.20 for this service. Most negotiated rates run $30.20 to $617.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $3,020 · 10th to 90th $2,291 to $5,012Professionalmedian $30 · 10th to 90th $30 to $617
$50$100$200$500$1K$2K$5Kfacility $3,020professional $30

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
$1,698.24
Median
$1,698.24
Typical High
$1,995.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$537.03
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,019.95
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26

Where South Carolina 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.

South Carolina· 48th of 49

$30.20

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.