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Keyhole Repair of a Returning Groin Hernia

Washington rates for HCPCS 49651

Repairs an inguinal, or groin, hernia that has come back after an earlier repair, working with a camera on a thin tube and instruments passed through several small cuts in the abdominal wall. The bulging tissue is pushed back and the weak area is reinforced, usually with a mesh patch. Approaching from the inside lets the surgeon avoid scar tissue left by the first operation.

Facilitymedian $10,233 · 10th–90th $776$28,1840%5%10th90th$10,233$100.0$500.0$2.0K$10.0K$50.0K

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
$851.14
Median
$16,982.44
Typical High
$28,183.83
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$22,387.21
Median
$25,703.96
Typical High
$46,773.51
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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,479.11
Typical High
$8,128.31
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,148.15
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
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,071.52
Typical High
$1,096.48
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$776.25
Typical High
$4,073.80
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
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$17,378.01
Typical High
$33,884.42