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First Stage Repair of Newborn Belly Defect

North Carolina 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?

$891

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $912 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 7 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$891$708 to $1,380
FacilityA hospital or hospital-owned outpatient department$912$724 to $1,288

How much rates vary

Facilitymedian $912 · 10th to 90th $646 to $2,570Professionalmedian $891 · 10th to 90th $692 to $1,950
$500$1K$2K$5Kfacility $912professional $891

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
$2,238.72
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$741.31
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$1,659.59
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Medcost
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$851.14
Typical High
$1,318.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,862.09
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$2,041.74
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$741.31
Typical High
$1,348.96
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$4,365.16
Typical High
$4,365.16
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00

Where North Carolina 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.

North Carolina· 19th of 51

$891

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.