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Repair Of A Small Navel-Area Birth Defect

New Mexico rates for HCPCS 49600

Some babies are born with an opening in the abdominal wall at the base of the umbilical cord, through which part of the intestine sits outside the body inside a thin covering sac. This operation returns those contents to the abdomen and closes the opening directly, edge to edge, which is possible because the defect is small. It is carried out in the newborn period, once the baby is stable enough for surgery.

Rates data updated July 2026.

How much does Repair Of A Small Navel-Area Birth Defect cost?

$776

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $1,023 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 5 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$776$708 to $1,000
FacilityA hospital or hospital-owned outpatient department$1,023$851 to $1,380

How much rates vary

Facilitymedian $1,023 · 10th to 90th $741 to $2,089Professionalmedian $776 · 10th to 90th $661 to $1,230
$50$200$1K$5Kfacility $1,023professional $776

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,041.74
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$741.31
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,000.00
Typical High
$1,445.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,071.52
Providence
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$954.99
Typical High
$1,584.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$7,244.36
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$954.99
Typical High
$1,548.82

Where New Mexico sits

The same service costs 2.6 times more in California than in Vermont. 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 Mexico· 49th of 51

$776

CA $1,995VT $759

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.