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Keyhole Repair Of Trapped Ventral Hernia

Wisconsin rates for HCPCS 49653

Keyhole surgery to fix a hernia in the front wall of the abdomen — at the navel, above it, or off to the side — where the bulging tissue has become stuck and cannot be pushed back, or has had its blood supply pinched off. Through small incisions the surgeon frees the trapped tissue, returns it to the abdomen and closes the weak spot, usually reinforcing it with mesh.

Rates data updated July 2026.

How much does Keyhole Repair Of Trapped Ventral Hernia 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 $3,631 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$3,631$3,311 to $4,074
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 $3,631 · 10th to 90th $1,479 to $4,677
$100$500$2K$10Kfacility $12,882professional $3,631

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
$23,442.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,691.53
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$3,630.78
Typical High
$4,073.80
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
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
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
$4,073.80
Median
$4,677.35
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
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.