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First Stage Repair of Newborn Belly Defect

Idaho rates for HCPCS 49610

The first stage of a staged operation to repair an opening in a newborn's abdominal wall through which the intestines and other organs protrude. Coverage is brought over the exposed organs to protect them, and the abdominal wall itself is closed at a later operation once the abdomen can accommodate the organs.

Rates data updated July 2026.

How much does First Stage Repair of Newborn Belly Defect cost?

$955

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $1,148 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 8 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$955$741 to $1,288
FacilityA hospital or hospital-owned outpatient department$1,148$871 to $2,089

How much rates vary

Facilitymedian $1,148 · 10th to 90th $708 to $4,467Professionalmedian $955 · 10th to 90th $676 to $1,479
$1K$2K$5K$10Kfacility $1,148professional $955

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
$4,466.84
Median
$4,466.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$776.25
Typical High
$1,995.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,630.27
Typical High
$7,079.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,288.25
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,000.00
Typical High
$1,288.25
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,023.29
Typical High
$1,737.80
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,230.27
Typical High
$1,412.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$602.56
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$1,621.81
Select Health
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,548.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$602.56
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$15,488.17
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$954.99
Typical High
$1,412.54

Where Idaho sits

The same service costs 2.5 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.

Idaho· 14th of 51

$955

CA $1,778VT $708

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.