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Belly Button Hernia Repair, Young Child

Pennsylvania rates for HCPCS 49580

Surgery to repair an umbilical hernia, a bulge at the navel, in a child younger than five years, when the bulge can still be pushed back in. The surgeon makes a small incision at or just below the navel, returns the tissue to the abdomen, and closes the gap in the abdominal wall.

Rates data updated October 2026.

How much does Belly Button Hernia Repair, Young Child cost?

$295

Typical physician fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $295 for this service. Most negotiated rates run $282 to $339.

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

Professionalmedian $295 · 10th to 90th $275 to $603
$500$1Kprofessional $295

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
Cigna
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$1,023.29
Geisinger
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$281.84
Typical High
$436.52
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$316.23
Typical High
$616.60
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$323.59
Typical High
$446.68

Where Pennsylvania sits

The same service costs 389.0 times more in Connecticut than in South Carolina. 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.

Pennsylvania· 40th of 43

$295

CT $11,749SC $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.