Find policies, billing codes, payers, states, and providers
National Reimbursement Benchmarks
National means place Medicare and BUCA on different parts of the spectrum: Medicare’s mean is $1,766.90 while BUCA’s mean is $2,347.10, so BUCA averages about $580.20 (roughly 33%) higher than Medicare. This gap highlights that commercial aggregation represented by BUCA sits meaningfully above Medicare but below the highest commercial means from Cigna and UnitedHealth Group.
Dispersion measured by the interquartile spread (P75−P25) varies notably across payers. Blue Cross Blue Shield has a P75−P25 of $1,336.00, Aetna’s spread is $1,880.00, Cigna’s spread is $1,963.30, UnitedHealth Group is the widest at $2,042.10, and BUCA’s spread is $1,649.90. Medicare’s IQR is tight at $135.00. Thus Medicare is the tightest by far, while UnitedHealth Group displays the widest middle-range variability.