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Keyhole Repair of Incisional Hernia

New York 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?

$10,471

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $10,471 for this service. The price depends on where it is billed: about $1,202 from a physician practice, and about $10,471 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$1,202$1,000 to $1,259
FacilityA hospital or hospital-owned outpatient department$10,471$6,166 to $14,454

How much rates vary

Facilitymedian $10,471 · 10th to 90th $4,467 to $17,783Professionalmedian $1,202 · 10th to 90th $813 to $3,981
$1K$2K$5K$10K$20Kfacility $10,471professional $1,202

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
$5,011.87
Median
$10,715.19
Typical High
$17,782.79
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$2,398.83
Typical High
$10,964.78
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,981.07
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
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
$758.58
Median
$1,000.00
Typical High
$1,258.93

Where New York sits

The same service costs 1174.9 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.

New York· 7th of 49

$10,471

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.