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Keyhole Repair, Recurrent Trapped Scar Hernia

California rates for HCPCS 49657

Keyhole surgery for a hernia that has come back at the site of an earlier surgical scar, where the bulging tissue has become stuck or has lost its blood supply. Through small incisions the surgeon separates scar tissue from the previous operation, frees and returns the trapped contents, and reinforces the weakened scar, usually with mesh.

Rates data updated July 2026.

How much does Keyhole Repair, Recurrent Trapped Scar Hernia cost?

$13,804

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $13,804 for this service. The price depends on where it is billed: about $6,166 from a physician practice, and about $13,804 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$6,166$1,514 to $6,166
FacilityA hospital or hospital-owned outpatient department$13,804$10,233 to $17,783

How much rates vary

Facilitymedian $13,804 · 10th to 90th $8,511 to $22,909Professionalmedian $6,166 · 10th to 90th $832 to $6,310
$200$500$1K$2K$5K$10K$20Kfacility $13,804professional $6,166

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
$8,511.38
Median
$13,803.84
Typical High
$22,908.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$4,897.79
Typical High
$6,165.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$398.11
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$22,908.68
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,309.57
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,479.11
Typical High
$2,344.23

Where California sits

The same service costs 1174.9 times more in Indiana than in Idaho. 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.

California· 5th of 49

$13,804

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.