Transplant Surgery reimbursement rates by service line
Compare payer-published transplant surgery benchmarks for liver transplantation; kidney transplantation; organ preparation; professional follow-up.
Compare national transplant surgery rates by payer
Use the reference codes to compare payer benchmarks, then explore liver transplantation; kidney transplantation; organ preparation; professional follow-up. Each rate represents a specific billing code and comparison cohort, rather than a complete episode of care.
Aetna state variation for 47135
National 47135 rate distribution
Each marker shows the national median published rate across billing entities for that payer.
National 47135 rates by payer
| Payer | Rate period | Provider entities | P25 | Median | P75 | P90 | Average |
|---|---|---|---|---|---|---|---|
| Aetna | Jun–Jul 2026 | 852 | $9,266.02 | $10,118.90 | |||
| Cigna | Jun–Jul 2026 | 36 | $18,059.79 | $17,551.86 | |||
| United | Jun–Jul 2026 | 1,491 | $12,089.43 | $13,370.72 | |||
| Anthem | Jun–Jul 2026 | 1,805 | $14,591.84 | $14,648.68 |
- Source
- Negotiated or fee-schedule amounts published directly by payers in their machine-readable files.
- Rate shown
- Published commercial rate for liver transplant from deceased donor (47135).
- Method
- Eligible rates are grouped by payer and billing entity so the benchmarks use a consistent service and billing basis.
The state map uses one consistent Aetna reference series; it does not average already-aggregated payer values. The service-line table keeps unlike codes, settings, and billing units in separate comparisons.
How do specific transplant surgery providers compare?
Compare named provider rates with the selected payer's median and percentile distribution.
National: Transplant Surgery provider benchmarks (CPT 47135)
| Provider entity | State | Size | $ per service | Gap to median | Position in Aetna range |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTERNPI 1174507099 · Tax ID 951644600 | CA | 1,573 | $4,360.45 | -$4,905.58 | Below P25 |
| VANGUARD SURGICAL LLCNPI 1356904064 · Tax ID 834310248 | KY | 4 | $5,182.39 | -$4,083.64 | Below P25 |
| CEDARS-SINAI MEDICAL CARE FOUNDATIONNPI 1396846721 · Tax ID 954457756 | CA | 3,667 | $6,037.40 | -$3,228.62 | Below P25 |
| MULTICARE HEALTH SYSTEMNPI 1376621730 · Tax ID 911352172 | WA | 6,926 | $7,235.18 | -$2,030.85 | P25 to median |
| SAMARITAN EMERGENCY MEDICAL SERVICES PCNPI 1114163706 · Tax ID 208243412 | NY | 299 | Median to P75 | ||
| TRUSTEES OF COLUMBIA UNIVERSITYNPI 1043638182 · Tax ID 135598093 | NY | 4,006 | Above P75 |
Choose one state to replace the mixed-state examples with payer-specific provider rates across all three preview codes.
No trial or data preparation required.Explore transplant 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.
| Service line / billing code | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|
$ per reported billing unit · 6 codes | ||||
50323Preparation of deceased donor kidney allograft | $574.08 | $493.27 | $540.54 | $2,907.45 |
47379Unlisted Laparoscopic Procedure | Not available | $10,405.26 | Not available | $0.02 |
47143Prep Donor Liver Whole | $789.57 | $858.64 | $899.92 | $3,840.79 |
47135Liver transplant from deceased donor | $10,118.90 | $17,551.86 | $13,370.72 | $14,648.68 |
50360Kidney transplant without recipient nephrectomy | $4,496.47 | $7,875.16 | $5,996.43 | $6,477.50 |
43659Unlisted laparoscopic procedure of the stomach | $24,609.63 | $4,550.99 | Not available | $10,452.36 |
$ per reported billing unit · 13 codes | ||||
99233Subsequent hospital inpatient or observation care, level 3 | $142.57 | $214.29 | $221.13 | $238.44 |
99214Established patient office visit, level 4 | $146.07 | $206.89 | $240.06 | $229.06 |
99232Subsequent hospital inpatient or observation care, level 2 | $102.34 | $146.82 | $151.97 | $165 |
99215Established patient office visit, level 5 | $208.04 | $292.58 | $325.75 | $316.55 |
99213Established patient office visit, level 3 | $100.89 | $141.53 | $166.30 | $159.55 |
99204New patient office visit, level 4 | $211.89 | $298.51 | $352.90 | $343.88 |
99223Initial hospital inpatient or observation care, level 3 | $246.95 | $369.51 | $401.23 | $433.01 |
99205New patient office visit, level 5 | $273.80 | $389.32 | $450.25 | $440.27 |
99291Critical care, first 30 to 74 minutes | $397.78 | $508.04 | $600.03 | $620.62 |
99222Initial hospital inpatient or observation care, level 2 | $178.34 | $262.35 | $279.57 | $304.35 |
99284Emergency department visit, level 4 | $176.80 | $244.44 | $252.28 | $288.10 |
99285Emergency department visit, level 5 | $251.83 | $357.96 | $366.97 | $420.59 |
99203New patient office visit, level 3 | $135.50 | $192.47 | $233.34 | $228.60 |
$ per reported billing unit · 1 code | ||||
74177CT abdomen and pelvis with contrast | $523.29 | $767.43 | $756.38 | $926.90 |
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Book a 20-min scoping call No trial or data preparation required.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 transplant surgery rates by state
Choose a state to compare payer reference averages for common services.
Questions about transplant surgery benchmarks
How to interpret the selected market and payer-published rates.
What does the national benchmark compare?
The headline uses Liver transplant from deceased donor (47135). 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.