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Repair of Upper Midline Abdominal Hernia

Washington 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?

$794

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $794 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $851 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$692$513 to $1,047
FacilityA hospital or hospital-owned outpatient department$851$562 to $1,995

How much rates vary

Facilitymedian $851 · 10th to 90th $417 to $3,236Professionalmedian $692 · 10th to 90th $372 to $2,291
$500$1K$2K$5K$10Kfacility $851professional $692

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
$758.58
Median
$1,584.89
Typical High
$1,995.26
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$870.96
Typical High
$3,235.94
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$691.83
Typical High
$2,290.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$79.43
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$691.83
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$457.09
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$588.84
Typical High
$794.33

Where Washington 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.

Washington· 38th of 49

$794

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.