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First Stage Repair of Newborn Belly Defect

Kentucky 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?

$708

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $5,754 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 6 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$692$646 to $832
FacilityA hospital or hospital-owned outpatient department$5,754$851 to $9,120

How much rates vary

Facilitymedian $5,754 · 10th to 90th $708 to $11,220Professionalmedian $692 · 10th to 90th $589 to $977
$50$200$1K$5K$20Kfacility $5,754professional $692

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
$691.83
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$691.83
Typical High
$933.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$676.08
Typical High
$933.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$1,047.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$812.83
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$933.25
Typical High
$4,168.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$4,168.69
Typical High
$28,183.83
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$794.33
Typical High
$1,288.25

Where Kentucky 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.

Kentucky· 50th of 51

$708

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.