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Keyhole Ventral Hernia Repair

Wisconsin 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?

$12,023

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $12,023 for this service. The price depends on where it is billed: about $2,884 from a physician practice, and about $12,882 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 6 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$2,884$2,630 to $3,236
FacilityA hospital or hospital-owned outpatient department$12,882$10,965 to $17,378

How much rates vary

Facilitymedian $12,882 · 10th to 90th $9,120 to $22,387Professionalmedian $2,884 · 10th to 90th $1,175 to $3,802
$100$500$2K$10Kfacility $12,882professional $2,884

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$12,882.50
Typical High
$22,387.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,137.96
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,884.03
Typical High
$3,235.94
Medica
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$13,803.84
Typical High
$13,803.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$13,803.84
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,801.89
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$17,782.79
Typical High
$20,892.96

Where Wisconsin sits

The same service costs 676.1 times more in Indiana than in South Carolina. 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.

Wisconsin· 4th of 49

$12,023

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.