CPT 44970 Laparoscopic Appendectomy Reimbursement

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National Reimbursement Benchmarks

National means highlight a clear split: Medicare averages $584.30 for CPT 44970 versus BUCA’s commercial mean of $3,578.40, indicating that BUCA reimbursements are roughly six times higher than Medicare’s average. Other national commercial payers sit between those anchors, with UnitedHealth Group and Cigna closer to BUCA than to Medicare on mean rates, and Aetna notably below the larger commercial averages.

Dispersion measured by the interquartile range (P75–P25) varies substantially: Blue Cross Blue Shield exhibits the widest IQR at $4,229.80, reflecting broad regional or negotiated variation, while Aetna is the tightest among those with full quartiles at $718.30. UnitedHealth Group ($677.80) and Cigna ($687.30) show moderate dispersion, and BUCA’s IQR is $2,716.00, signaling sizeable spread within that commercial aggregate.

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National Reimbursement Benchmarks

National Payer Mean Reimbursement Rates

CPT 44979: Intra-abdominal Colorectal Surgical Procedure

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

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Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

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National Reimbursement Benchmarks

Catch payer policy changes before they impact reimbursement

Catch payer policy changes before they impact reimbursement

OpenPayer

National Reimbursement Benchmarks

Related Codes

References

Related Codes

References

National Reimbursement Benchmarks

National Reimbursement Benchmarks

Related Codes

What reimbursement rate data are shown for CPT 44970?

Is there significant variation in reimbursement for CPT 44970 across payers?

Does the data include percentiles or medians, not just mean rates?

What is the typical site of service and service type for CPT 44970?

Does this page include payer policy, coverage criteria, or billing recommendations for CPT 44970?

References

Related Codes

What reimbursement rate data are shown for CPT 44970?

Is there significant variation in reimbursement for CPT 44970 across payers?

Does the data include percentiles or medians, not just mean rates?

What is the typical site of service and service type for CPT 44970?

Does this page include payer policy, coverage criteria, or billing recommendations for CPT 44970?

References