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Spigelian Hernia Repair

New York 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 October 2026.

How much does Spigelian Hernia Repair cost?

$4,365

Typical physician fee. In New York, October 2026.

Insurers have agreed to pay about $4,365 for this service. Most negotiated rates run $2,239 to $7,413.

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 $4,467 · 10th to 90th $1,514 to $10,715Professionalmedian $813 · 10th to 90th $575 to $813
$1K$2K$5K$10Kfacility $4,467professional $813

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
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$4,466.84
Typical High
$10,964.78
CDPHP
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$2,951.21
Typical High
$8,912.51
CDPHP
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
United
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$616.60
Typical High
$831.76
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Emblem Health
Setting
Professional
Modifier
GL · Free upgrade
Typical Low
$446.68
Median
$501.19
Typical High
$501.19

Where New York sits

The same service costs 389.0 times more in Connecticut than in Idaho. 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.

New York· 5th of 43

$4,365

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.