CPT code 49557: Femoral hernia repair, recurrent, incarcerated or strangulated2026 Medicare rate & RVUs in Minnesota

In Minnesota, Medicare pays $629.28 for 49557 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 49557 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 49557 covers

49557 applies when a femoral hernia has returned after prior repair and the recurrent hernia is incarcerated or strangulated. A surgeon repairs the femoral defect, typically in an operating room. The operative report should establish the femoral site, prior repair, and the incarceration or strangulation that makes the recurrent hernia nonreducible or threatens its blood supply.

Select this code rather than recurrent reducible femoral hernia repair when the documentation supports incarceration or strangulation; an initial femoral repair is a different service. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Minnesota compares for 49557

Across 109 of 109 payment localities, the facility rate for 49557 runs from $614.24 in Arkansas to $851.89 in Miami, FL. Minnesota pays $629.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

49557 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 49557 in every payment locality

How the 49557 rate is calculated

Each of 49557’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 49557

49557 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 49557

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 49557 has changed in Minnesota

Price 49557 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

• Ada
• Adams
• Adrian
• Afton
• Aitkin
• Akeley
• Albany
• Albert Lea

Browse all communities in Minnesota

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates