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Keyhole Repair, Recurrent Trapped Scar Hernia

North Carolina 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?

$5,623

Typical physician fee. In North Carolina, July 2026.

Insurers have agreed to pay about $5,623 for this service. Most negotiated rates run $2,042 to $6,310.

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 $6,166 · 10th to 90th $2,138 to $6,310
$1$10$100$1K$10Kfacility $2,818professional $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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$5,888.44
Typical High
$8,511.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,380.38
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
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
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
$6,165.95
Median
$6,309.57
Typical High
$6,309.57

Where North Carolina 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.

North Carolina· 13th of 49

$5,623

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.