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Unlisted Keyhole Hernia Repair

West Virginia rates for HCPCS 49659

Used when a hernia repaired by keyhole surgery does not match any standard named procedure. The surgeon files a written report setting out what was repaired and how, and it is compared with similar named operations. Because it stands in for work with no standard name, what was actually done differs from patient to patient.

Rates data updated July 2026.

How much does Unlisted Keyhole Hernia Repair cost?

$1,096

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $1,096 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$1,096$1,096 to $1,096
FacilityA hospital or hospital-owned outpatient department$1,096$1,096 to $2,630

How much rates vary

Facilitymedian $1,096 · 10th to 90th $1,096 to $7,943Professionalmedian $1,096 · 10th to 90th $1,096 to $1,202
$100$1K$10K$100Kfacility $1,096professional $1,096

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,202.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$81,283.05
Median
$81,283.05
Typical High
$81,283.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$72,443.60
Median
$72,443.60
Typical High
$72,443.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$26,915.35
Typical High
$47,863.01
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$3,548.13
Typical High
$16,982.44

Where West Virginia sits

Rates are fairly even across states for this service. 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.

West Virginia· 26th of 51

$1,096

SD $1,202RI $1,096

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.