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 October 2026.

How much rates vary

Professionalmedian $589 · 10th to 90th $501 to $759

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Horizon BCBS Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $758.58	Professional	None	$501.19	$588.84	$758.58
United Setting Professional Modifier None Typical Low $501.19 Median $562.34 Typical High $870.96	Professional	None	$501.19	$562.34	$870.96