CPT 00752: Anesthesia for Upper Abdominal Hernia Repairs
Commercial payers pay $83 on average nationally for this procedure.
CPT code 00752 describes anesthesia services for hernia repairs in the upper abdomen, including lumbar, ventral, incisional hernias, and wound dehiscence; the service is anesthesia care provided in an inpatient or outpatient surgical setting for operative management of upper abdominal wall hernias and related wound complications.
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National Reimbursement Benchmarks
Commercial rates for CPT 00752 center on a BUCA average of $83.50, with individual payers showing meaningful variation around that benchmark. Blue Cross Blue Shield has a relatively narrow interquartile spread ($91.00 − $51.30 = $39.70), and UnitedHealth Group is similarly tight ($81.00 − $52.00 = $29.00), indicating more consistent commercial payments. Cigna and BUCA display moderate dispersion (Cigna IQR $103.30 − $65.50 = $37.80; BUCA IQR $105.00 − $56.30 = $48.70), while Aetna shows the widest IQR ($173.80 − $66.50 = $107.30), signaling substantial variability in negotiated commercial rates.
Maximum and minimum endpoints further emphasize spread differences: Aetna’s max of $388 contrasts with its $30.20 minimum, whereas UnitedHealth Group’s narrower top-to-bottom band ($122.70 max, $34.90 min) reinforces its tighter distribution. Blue Cross Blue Shield and Cigna occupy midrange positions by both central tendency and dispersion, framing BUCA’s average as a useful market midpoint among these commercial payers.