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Background: Within the United States (US), there has been an overall increase in cost of malpractice insurance for surgeons and decrease in federal reimbursement for surgical work. This study aims to analyze state-to-state variability to understand differences in costs relative to reimbursement for surgeons and temporal trends.

Study Design: This study uses publicly available data to conduct a cross-sectional evaluation of surgeon medical malpractice premium rates and surgical reimbursement between 2013 and 2023.

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