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Laparoscopic Repair Of A First-Time Groin Hernia

Washington rates for HCPCS 49650

This surgery repairs a groin, or inguinal, hernia using a minimally invasive laparoscopic technique, in which the surgeon works through several small incisions with a camera and specialized instruments rather than one larger open incision. A hernia occurs when tissue pushes through a weak spot in the abdominal wall muscle, and this procedure pushes it back into place and reinforces the area, often with a supportive mesh. It applies to a first occurrence of the hernia rather than a repeat repair of one that has recurred after previous surgery.

Facilitymedian $14,125 · 10th–90th $646$33,8840%10%10th90th$14,125Professionalmedian $676 · 10th–90th $380$2,1880%10%10th90th$676$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$15,135.61
Typical High
$33,113.11
Aetna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$6,025.60
Median
$23,442.29
Typical High
$48,977.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$676.08
Typical High
$2,290.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$741.31
Typical High
$870.96
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$15,488.17
Typical High
$31,622.78
Asuris Northwest Health
Setting
Facility
Modifier
50 · Both sides
Typical Low
$16,218.10
Median
$22,908.68
Typical High
$46,773.51
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$831.76
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,071.52
Typical High
$8,128.31
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$676.08
Typical High
$1,318.26
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$870.96
Typical High
$7,244.36
Kaiser Permanente
Setting
Facility
Modifier
50 · Both sides
Typical Low
$14,125.38
Median
$15,488.17
Typical High
$23,988.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$758.58
Typical High
$3,801.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$251.19
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$831.76
Typical High
$851.14
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$602.56
Typical High
$4,073.80
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$1,258.93
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$15,848.93
Typical High
$31,622.78
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$15,848.93
Median
$23,988.33
Typical High
$46,773.51
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$851.14
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$17,378.01
Typical High
$33,884.42
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$1,122.02
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$489.78
Typical High
$870.96