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Belly Button Hernia Repair, Age Five or Over

North Carolina rates for HCPCS 49585

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

Rates data updated July 2026.

How much does Belly Button Hernia Repair, Age Five or Over cost?

$3,981

Typical physician fee. In North Carolina, July 2026.

Insurers have agreed to pay about $3,981 for this service. Most negotiated rates run $2,138 to $3,981.

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.

How much rates vary

Facilitymedian $3,548 · 10th to 90th $324 to $33,884Professionalmedian $3,981 · 10th to 90th $676 to $3,981
$1$10$100$1K$10Kfacility $3,548professional $3,981

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
$1,698.24
Median
$2,041.74
Typical High
$2,884.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,584.89
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$575.44
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$33,884.42
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07

Where North Carolina 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.

North Carolina· 17th of 50

$3,981

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.