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Second Stage Repair Of An Omphalocele

Tennessee rates for HCPCS 49611

The completing operation in a staged repair of an omphalocele, a birth defect in which abdominal organs sit outside the body in a sac at the navel. With the organs already returned or gradually reduced into the abdomen, this step closes the muscle and skin of the abdominal wall over them.

Rates data updated July 2026.

How much does Second Stage Repair Of An Omphalocele cost?

$676

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $661 from a physician practice, and about $2,399 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$661$575 to $832
FacilityA hospital or hospital-owned outpatient department$2,399$1,660 to $3,802

How much rates vary

Facilitymedian $2,399 · 10th to 90th $708 to $4,467Professionalmedian $661 · 10th to 90th $537 to $1,202
$100$200$500$1K$2K$5K$10Kfacility $2,399professional $661

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
$1,288.25
Median
$2,691.53
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$630.96
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,290.87
Typical High
$4,365.16
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$512.86
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$794.33
Typical High
$1,318.26
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$3,801.89
Typical High
$3,801.89
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,370.32
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,290.87
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$724.44
Typical High
$1,202.26

Where Tennessee 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.

Tennessee· 36th of 51

$676

CA $1,585VT $603

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.