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Spigelian Hernia Repair

South Dakota 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?

$1,259

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,259 for this service. Most negotiated rates run $1,259 to $1,585.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $1,259 · 10th to 90th $1,122 to $1,585
$1K$2Kprofessional $1,259

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
$1,023.29
Median
$1,258.93
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26

Where South Dakota 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.

South Dakota· 34th of 49

$1,259

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.