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Keyhole Ventral Hernia Repair

New York rates for HCPCS 49652

Keyhole surgery to fix a hernia in the front wall of the abdomen — at the navel, above it, or off to one side. Working through small incisions with a camera and long instruments, the surgeon pushes the bulging tissue back inside and closes or patches the weak spot, usually with mesh. This version covers a hernia whose contents can still be pushed back into place.

Rates data updated July 2026.

How much does Keyhole Ventral Hernia Repair cost?

$7,762

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $7,762 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $7,943 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$1,047$871 to $1,096
FacilityA hospital or hospital-owned outpatient department$7,943$5,248 to $10,715

How much rates vary

Facilitymedian $7,943 · 10th to 90th $4,074 to $15,849Professionalmedian $1,047 · 10th to 90th $708 to $3,548
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $7,943professional $1,047

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$8,317.64
Typical High
$16,218.10
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,398.83
Typical High
$10,964.78
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,548.13
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$3,235.94
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$1,096.48

Where New York sits

The same service costs 676.1 times more in Indiana than in South Carolina. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $7,762 · 8th of 49
IN $20,417SC $30.20

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.