Keyhole Repair of Returned Incisional Hernia

Nationwide rates for HCPCS 49656

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

Rates data updated July 2026.

How much does Keyhole Repair of Returned Incisional Hernia cost?

$9,550

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $9,550 for this service. The price depends on where it is billed: about $1,549 from a physician practice, and about $12,589 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 28 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$1,549	$933 to $2,570
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$12,589	$7,413 to $17,783

How much rates vary

Facilitymedian $12,589 · 10th to 90th $2,818 to $28,840Professionalmedian $1,549 · 10th to 90th $832 to $4,266

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
BCBS Setting Facility Modifier Global Typical Low $5,011.87 Median $13,489.63 Typical High $28,840.32	Facility	Global	$5,011.87	$13,489.63	$28,840.32
Cigna Setting Facility Modifier Global Typical Low $2,238.72 Median $3,019.95 Typical High $8,511.38	Facility	Global	$2,238.72	$3,019.95	$8,511.38
Cigna Setting Professional Modifier Global Typical Low $1,621.81 Median $2,511.89 Typical High $3,981.07	Professional	Global	$1,621.81	$2,511.89	$3,981.07
United Setting Facility Modifier Global Typical Low $501.19 Median $1,995.26 Typical High $6,760.83	Facility	Global	$501.19	$1,995.26	$6,760.83
United Setting Professional Modifier Global Typical Low $676.08 Median $1,000.00 Typical High $1,380.38	Professional	Global	$676.08	$1,000.00	$1,380.38

What it costs in each state

The same service costs 1174.9 times more in Indiana than in Idaho. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

IN $35,481ID $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.