CPT 00754: Anesthesia for Upper Abdominal Hernia Repair (Omphalocele)
Commercial payers pay $72 on average nationally for this procedure.
CPT code 00754 describes anesthesia services provided for a patient undergoing hernia repair in the upper abdomen for an omphalocele, a congenital abdominal wall defect in which abdominal organs protrude into the base of the umbilical cord; service type: anesthesia for surgical repair; typical site of service: inpatient or operating room surgical setting for pediatric or neonatal abdominal surgery.
For related coverage guidance, see recent payer policy updates: Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders.
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National Reimbursement Benchmarks
National commercial rates for CPT 00754 cluster around BUCA’s average commercial mean of $71.90, with notable variation across major carriers. Blue Cross Blue Shield (BCBS) and Cigna show higher central tendencies (BCBS median $62.40, Cigna median $85.80) while Aetna and UnitedHealth Group sit lower on median values. Cigna posts the highest single maximum at $151.60, and BCBS peaks at $195.40, reflecting upper-end outliers that lift their means versus BUCA’s average.
Dispersion measured by interquartile range (P75–P25) is narrowest for Aetna at $35.40 and for UnitedHealth Group at $27.60, indicating tighter mid-market clustering. BCBS and Cigna are widest at $41.59 and $54.30 respectively, suggesting the greatest mid-range variability; BUCA’s interquartile span is $38.00, close to the market middle.