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Belly Button Hernia Repair, Age Five or Over

Wisconsin 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?

$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 $1,950 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$1,950$1,738 to $3,981
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 $1,950 · 10th to 90th $708 to $3,981
$100$200$500$1K$2K$5K$10Kfacility $8,128professional $1,950

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
$1,122.02
Median
$1,318.26
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,737.80
Typical High
$1,949.84
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
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
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
$1,819.70
Median
$3,981.07
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$17,782.79
Typical High
$20,892.96
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$89.13

Where Wisconsin 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.

Wisconsin· 5th of 50

$7,586

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.