Spigelian Hernia Repair

Nationwide rates for HCPCS 49590

Surgery to fix a spigelian hernia, an uncommon hernia in which tissue pushes through a weak spot in the abdominal wall low down and off to the side, between the layers of muscle. Through an incision over the area the surgeon returns the bulging tissue to the abdomen and closes the defect, often reinforcing it with mesh.

Rates data updated July 2026.

How much does Spigelian Hernia Repair cost?

$5,012

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $5,012 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $6,761 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 28 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$1,175	$646 to $2,291
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$6,761	$4,571 to $10,233

How much rates vary

Facilitymedian $6,761 · 10th to 90th $1,820 to $15,136Professionalmedian $1,175 · 10th to 90th $513 to $4,169

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
BCBS Setting Facility Modifier Global Typical Low $2,818.38 Median $7,244.36 Typical High $15,135.61	Facility	Global	$2,818.38	$7,244.36	$15,135.61
Cigna Setting Facility Modifier Global Typical Low $1,412.54 Median $1,905.46 Typical High $5,370.32	Facility	Global	$1,412.54	$1,905.46	$5,370.32
Cigna Setting Professional Modifier Global Typical Low $1,023.29 Median $1,584.89 Typical High $2,511.89	Professional	Global	$1,023.29	$1,584.89	$2,511.89
United Setting Facility Modifier Global Typical Low $478.63 Median $1,905.46 Typical High $6,760.83	Facility	Global	$478.63	$1,905.46	$6,760.83
United Setting Professional Modifier Global Typical Low $70.79 Median $616.60 Typical High $870.96	Professional	Global	$70.79	$616.60	$870.96

What it costs in each state

The same service costs 389.0 times more in Connecticut than in Idaho. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

CT $11,749ID $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.