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Repair of Upper Midline Abdominal Hernia

Wisconsin 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?

$7,586

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $7,586 for this service. The price depends on where it is billed: about $1,820 from a physician practice, and about $8,128 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 6 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$1,820$1,622 to $2,884
FacilityA hospital or hospital-owned outpatient department$8,128$6,166 to $10,715

How much rates vary

Facilitymedian $8,128 · 10th to 90th $5,012 to $14,125Professionalmedian $1,820 · 10th to 90th $741 to $3,090
$100$200$500$1K$2K$5K$10Kfacility $8,128professional $1,820

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,128.31
Typical High
$14,125.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,230.27
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,621.81
Typical High
$1,819.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$8,511.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$8,511.38
Typical High
$8,511.38
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,884.03
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$17,782.79
Typical High
$20,892.96

Where Wisconsin 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.

Wisconsin· 5th of 49

$7,586

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.