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Keyhole Repair of Incisional Hernia

North Carolina rates for HCPCS 49654

Repair of a hernia at the site of a previous surgical incision, done with keyhole surgery through several small cuts using a camera and long instruments. It is used when the bulging tissue can still be pushed back inside. Mesh is placed to reinforce the weakened abdominal wall as part of the operation when needed.

Rates data updated July 2026.

How much does Keyhole Repair of Incisional Hernia cost?

$4,169

Typical physician fee. In North Carolina, July 2026.

Insurers have agreed to pay about $4,169 for this service. Most negotiated rates run $1,905 to $4,365.

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.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $324 to $22,909Professionalmedian $4,169 · 10th to 90th $1,479 to $4,365
$1.0$10.0$100.0$1.0K$10.0Kfacility $2,818professional $4,169

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,801.89
Typical High
$5,370.32
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,819.70
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$22,908.68
Typical High
$22,908.68
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,365.16
Typical High
$4,365.16

Where North Carolina sits

The same service costs 1174.9 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.

North Carolina $4,169 · 13th of 49
IN $35,481SC $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.