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Spigelian Hernia Repair

Oregon 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 rates vary

Facilitymedian $1,047 · 10th to 90th $794 to $1,122Professionalmedian $170 · 10th to 90th $170 to $178
$200$500$1Kfacility $1,047professional $170

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$177.83
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,122.02