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Hernia Repair

Cost of a Hernia Repair Visit:
$596-$1,154

How much does a hernia repair visit cost? The national median negotiated rate for CPT 49505 is $797, with rates ranging from $596 to $1,154 across 112,468 providers.

National Median

$797

Low End (P5)

$596

High End (P95)

$1,154

Providers

112,468

Hernia Repair Visit Costs by State

Click any state to see detailed hernia repair visit pricing. Colors represent the median negotiated rate for CPT 49505.

Median Visit Cost

$596
$1,154

Hernia Repair Visit Cost by State: All 50 States Ranked

States ranked from lowest to highest median hernia repair visit rate for CPT 49505 (Repair initial inguinal hernia, age 5 or older).

RankStateAverage
1Wisconsin
Range: $73$4,031
$1,248
2Iowa
Range: $457$2,449
$1,131
3Alaska
Range: $440$2,338
$684
4Massachusetts
Range: $397$2,168
$834
5Montana
Range: $378$2,328
$656
6Georgia
Range: $421$1,969
$902
7South Dakota
Range: $439$2,034
$769
8Wyoming
Range: $628$1,642
$880
9New Hampshire
Range: $504$1,521
$981
10Nebraska
Range: $637$1,214
$1,131
11Washington
Range: $592$1,594
$768
12Minnesota
Range: $344$1,787
$778
13Rhode Island
Range: $440$1,521
$858
14North Dakota
Range: $437$1,537
$709
15Maine
Range: $630$1,022
$998
16Utah
Range: $374$1,150
$1,126
17California
Range: $423$1,216
$975
18Oregon
Range: $440$1,399
$759
19North Carolina
Range: $426$1,453
$698
20District of Columbia
Range: $381$1,221
$901
21Connecticut
Range: $368$1,435
$669
22New Mexico
Range: $465$1,226
$770
23West Virginia
Range: $381$1,378
$657
24Missouri
Range: $493$1,027
$892
25Colorado
Range: $441$1,242
$712
26Michigan
Range: $440$1,216
$736
27Delaware
Range: $330$1,435
$602
28Illinois
Range: $90$1,569
$707
29Pennsylvania
Range: $333$1,448
$562
30Idaho
Range: $438$1,197
$690
31Hawaii
Range: $426$1,149
$734
32New York
Range: $364$1,435
$504
33Kentucky
Range: $396$1,220
$673
34Vermont
Range: $391$1,271
$596
35Arkansas
Range: $461$1,043
$734
36New Jersey
Range: $309$1,435
$475
37Indiana
Range: $90$1,448
$627
38Mississippi
Range: $409$1,251
$493
39Tennessee
Range: $440$1,016
$660
40South Carolina
Range: $391$1,170
$554
41Texas
Range: $407$1,086
$602
42Alabama
Range: $356$1,111
$598
43Louisiana
Range: $383$1,052
$608
44Kansas
Range: $493$872
$635
45Virginia
Range: $358$1,079
$554
46Maryland
Range: $381$1,079
$498
47Oklahoma
Range: $429$991
$520
48Ohio
Range: $328$1,039
$547
49Nevada
Range: $423$859
$506
50Arizona
Range: $432$882
$440
51Florida
Range: $35$920
$55

Frequently Asked Questions

How much does a hernia repair cost without insurance?

The average negotiated rate for a hernia repair (CPT 49505) is $843 nationally. Rates typically range from $596 to $1,154 depending on your state and provider. Without insurance, you may pay the provider's full charge rate, which can be 2-3x higher than negotiated rates.

How much does a hernia repair cost with insurance?

With insurance, your out-of-pocket cost for a hernia repair depends on your plan's copay, coinsurance, and whether you've met your deductible. The average insurer-negotiated rate is $843. Most plans charge a specialist copay of $30-$75, or you may owe a percentage (typically 20-30%) after your deductible is met.

Why do hernia repair costs vary by state?

Healthcare costs vary significantly by state due to differences in cost of living, provider supply and demand, state regulations, and negotiated rates between insurers and providers. Urban areas and states with higher costs of living (like New York and California) tend to have higher rates.

What does CPT code 49505 cover?

CPT 49505 is the billing code for: Repair initial inguinal hernia, age 5 or older. This is one of the standard codes used when billing for this procedure.

What factors affect the cost of a hernia repair?

Several factors influence the cost: (1) Your geographic location — rates vary 2-3x between states, (2) Whether you have insurance and which plan, (3) Whether the provider is in-network, (4) The complexity of your case, (5) The facility where the procedure is performed.

Get Your Personalized Cost Estimate

These are the negotiated rates providers across the US are contracted to accept. Your personal share depends on your deductible and coinsurance. Call your insurer's member line with CPT code 49505 to get your exact estimate or talk to our AI to get your answers.

Written by Jayant Panwar | Last reviewed: Q1 2026

Rates sourced from Transparency in Coverage machine-readable files (Q1 2026). Negotiated rates are contracted prices between insurers and individual providers and do not represent guaranteed patient out-of-pocket costs. Actual costs depend on insurance plan terms, deductible status, coinsurance rate, and specific services received.