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Repair of Upper Midline Hernia, Trapped

New Jersey rates for HCPCS 49572

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, in the situation where the bulging tissue is stuck and cannot be pushed back or its blood supply is being pinched off. The surgeon opens over the site, frees and inspects the trapped tissue, and closes the gap in the wall.

Rates data updated July 2026.

How much does Repair of Upper Midline Hernia, Trapped cost?

$589

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $589 for this service. Most negotiated rates run $501 to $912.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,549 to $8,511Professionalmedian $589 · 10th to 90th $427 to $1,230
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $4,266professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,454.71
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$588.84
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$4,265.80
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$562.34
Typical High
$870.96

Where New Jersey sits

The same service costs 407.4 times more in Indiana than in South Carolina. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $589 · 42nd of 49
IN $12,303SC $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.