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General Surgery reimbursement rates by service line

Compare payer-published general surgery benchmarks for gallbladder surgery; appendectomy; hernia repair; breast surgery; wound care.

2,033,998 provider-rate observations4 payers in source data50 states represented12 billing codes
Rate data shownJun–Jul 2026About these rates
General Surgery rate explorerThree reference services
Rate measure$ per reported billing unit
Billing contextProfessional

Compare national general surgery rates by payer

Use the reference codes to compare payer benchmarks, then explore gallbladder surgery; appendectomy; hernia repair; breast surgery; wound care. Each rate represents a specific billing code and comparison cohort, rather than a complete episode of care.

Aetna state variation for 47562

LowerHigher
Alaska: $3,985.29 Aetna reference averageAKAlabama: $1,339.79 Aetna reference averageALArkansas: $844.98 Aetna reference averageARArizona: $865.55 Aetna reference averageAZCalifornia: $967.92 Aetna reference averageCAColorado: $899.36 Aetna reference averageCOConnecticut: $1,423.09 Aetna reference averageCTDistrict of Columbia: No preview availableDCDelaware: $1,045.08 Aetna reference averageDEFlorida: $920.07 Aetna reference averageFLGeorgia: $1,222.46 Aetna reference averageGAHawaii: $1,199.67 Aetna reference averageHIIowa: $1,081.88 Aetna reference averageIAIdaho: $1,534.52 Aetna reference averageIDIllinois: $1,010.14 Aetna reference averageILIndiana: $785.14 Aetna reference averageINKansas: $1,046.90 Aetna reference averageKSKentucky: $964.80 Aetna reference averageKYLouisiana: $1,034.41 Aetna reference averageLAMassachusetts: $1,096.97 Aetna reference averageMAMaryland: $1,195.11 Aetna reference averageMDMaine: $940.33 Aetna reference averageMEMichigan: $904.88 Aetna reference averageMIMinnesota: $628.91 Aetna reference averageMNMissouri: $994.77 Aetna reference averageMOMississippi: $1,249.82 Aetna reference averageMSMontana: $1,326.61 Aetna reference averageMTNorth Carolina: $978.90 Aetna reference averageNCNorth Dakota: $791.36 Aetna reference averageNDNebraska: $1,097.19 Aetna reference averageNENew Hampshire: $1,212.22 Aetna reference averageNHNew Jersey: $1,125.44 Aetna reference averageNJNew Mexico: $1,011.80 Aetna reference averageNMNevada: $830.54 Aetna reference averageNVNew York: $1,046.40 Aetna reference averageNYOhio: $1,082.66 Aetna reference averageOHOklahoma: $870 Aetna reference averageOKOregon: $1,339.75 Aetna reference averageORPennsylvania: $1,055.71 Aetna reference averagePARhode Island: $1,061.02 Aetna reference averageRISouth Carolina: $980.66 Aetna reference averageSCSouth Dakota: $881.13 Aetna reference averageSDTennessee: $949.07 Aetna reference averageTNTexas: $940.65 Aetna reference averageTXUtah: $1,069.33 Aetna reference averageUTVirginia: $1,050.06 Aetna reference averageVAVermont: $310.25 Aetna reference averageVTWashington: $1,295.03 Aetna reference averageWAWisconsin: $1,184.67 Aetna reference averageWIWest Virginia: $785.89 Aetna reference averageWVWyoming: $1,202.36 Aetna reference averageWY
National
Select a state to reveal payer percentiles and provider examples.

National 47562 rate distribution

Payer
Published rate$ per reported billing unit
$800$1,000$1,200$1,400$1,600
Median
AetnaJun–Jul 2026
AetnaProviders39,706Average$1,003.90
$889.63median
CignaJun–Jul 2026
CignaProviders43,409Average$1,284.84
$1,103.33median
UnitedJun–Jul 2026
UnitedProviders45,517Average$1,299.69
$1,153.99median
AnthemJun–Jul 2026
AnthemProviders37,018Average$1,518.64
$1,311.38median

Each marker shows the national median published rate across billing entities for that payer.

National 47562 rates by payer

$ per reported billing unit
PayerRate periodProvider entitiesP25MedianP75P90Average
AetnaJun–Jul 202639,706$889.63$1,003.90
CignaJun–Jul 202643,409$1,103.33$1,284.84
UnitedJun–Jul 202645,517$1,153.99$1,299.69
AnthemJun–Jul 202637,018$1,311.38$1,518.64
About these rates

How do specific general surgery providers compare?

Compare named provider rates with the selected payer's median and percentile distribution.

National: General Surgery provider benchmarks (CPT 47562)

6 provider examples
Provider entityStateSize$ per serviceGap to medianPosition in Aetna range
ALLINA HEALTH SYSTEMNPI 1003059379 · Tax ID 363261413MN8,317$597.01-$292.63
Below P25
COORDINATED HEALTH OF GREATER NEW JERSEY LLCNPI 1285665034 · Tax ID 611748705NJ35$649.11-$240.52
Below P25
SURGICAL CONSULTANTS LTDNPI 1043369275 · Tax ID 362755239IL4$708.48-$181.15
Below P25
SAN FRANCISCO SURGICALNPI 1821170150 · Tax ID 941563387CA9$788.06-$101.58
P25 to median
STAFFORD MEDICAL GROUP LLCNPI 1518098698 · Tax ID 770598934CT5
Median to P75
COLUMBIA UNIVERSITY HEALTH CARE INCNPI 1710411525 · Tax ID 133948652NY9
Above P75
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Explore general surgery services

Compare codes within the same billing context. A reported billing unit may describe a timed service, supply quantity, daily service or procedure; it does not always mean one visit.

GeographyNational
Display
Service line / billing codeAetnaCignaUnitedAnthem
$ per reported billing unit · 12 codes
47562Laparoscopic cholecystectomy
$1,003.90$1,284.84$1,299.69$1,518.64
47563Laparoscopy; Cholecystectomy With Cholangiography
$1,087.25$1,378.42$1,405$1,616.87
44970Laparoscopic appendectomy
$903.78$1,133.94$1,167.60$1,285.69
49650Laparoscopic initial inguinal hernia repair
$651.26$813.37$837.41$937.20
49505Groin Hernia Repair Surgery
$789.65$988.39$1,015.13$1,083.01
49591Initial anterior abdominal hernia repair, less than 3 cm, reducible
$490.59$653.14$688.78$710.93
19301Removal Of Part Of A Breast
$891.04$1,213.59$1,188.34$1,277.89
38525Deep Lymph Node Surgery
$640.95$833.16$817.67$910.12
38900Sentinel Lymph Node Procedure
$198.20$263.64$261.95$296.76
36561Tunneled Catheter With Port
$1,110.04$1,315.95$2,159.19$2,016.90
11043Dbrdmt Musc Fsca 1st 20
$266.43$358.65$428.28$442.60
17250Chemical Cauterization Of Granulati Tissue (Proud Flesh Sinus
$83.36$115.42$152.39$135.94
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How to interpret these benchmarks

Payer-published rates provide market context. They do not establish a practice's contracted rate or the total cost of care.

  • Source and periodRates come from the specialty's national report. The displayed period follows the processed data included in the latest published snapshot and updates when that snapshot is refreshed.
  • Comparable ratesComparisons use positive professional fee-for-service negotiated and fee-schedule dollar amounts. Percentages, bundled arrangements and per-diem rate types are excluded. Modifier cohorts and code-specific amounts remain separate.
  • CalculationRates are reduced to one modal value per NPI and TIN entity, averaging tied modes. Two percent per tail is targeted for trimming while keeping boundary ties. Benchmarks require at least 10 included entities and are not weighted by patient volume.
  • CoverageNational report coverage does not guarantee every payer or state is available for every code. Anthem represents the displayed Anthem cohort, rather than all regional Blue plans. Missing benchmarks are not zero rates.
  • Billing contextMatch the exact code, billing unit, modifier, setting and network. Equipment rentals and supplies require their own interval and quantity checks. Professional rates exclude facility charges; anesthesia conversion factors are outside these comparisons.

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Explore general surgery rates by state

Choose a state to compare payer reference averages for common services.

Questions about general surgery benchmarks

How to interpret the selected market and payer-published rates.

What does the national benchmark compare?

The headline uses Laparoscopic cholecystectomy (47562). The other reference codes and service lines provide separate comparisons rather than combining unlike services.

Why is a payer or state missing?

A benchmark appears only when the selected code and cohort meet the publication rules, including at least 10 entities after trimming. Report-wide coverage can be broader than an individual comparison.

Will the reporting period change?

Yes. The period displayed with the benchmark follows the processed source data when the publication snapshot is refreshed.