CY 2027 Malpractice Risk Index and Premium Amounts by Specialty				
				
Specialty Code	Specialty Name	2027 Service Risk Group	2027 Risk Index	2027 Normalized Premium Rate
01	General practice	Non-surgery	0.723	"$15,752"
01	General practice	OB	1.706	"$37,182"
01	General practice	Surgery	1.438	"$31,324"
02	General surgery	All	3.074	"$66,981"
03	Allergy/immunology	All	0.427	"$9,312"
04	Otolaryngology	Non-surgery	0.711	"$15,491"
04	Otolaryngology	Surgery	1.679	"$36,589"
05	Anesthesiology	All	0.967	"$21,074"
06	Cardiology	Non-surgery	0.815	"$17,761"
06	Cardiology	Surgery	2.754	"$60,007"
07	Dermatology	Non-surgery	0.492	"$10,710"
07	Dermatology	Surgery	1.135	"$24,733"
08	Family practice	Non-surgery	0.726	"$15,823"
08	Family practice	OB	1.716	"$37,387"
08	Family practice	Surgery	1.494	"$32,555"
09	Interventional pain management	All	1.189	"$25,918"
10	Gastroenterology	Non-surgery	0.867	"$18,888"
10	Gastroenterology	Surgery	1.290	"$28,111"
11	Internal medicine	All	0.793	"$17,287"
12	Osteopathic manipulative medicine	All	0.590	"$12,851"
13	Neurology	Non-surgery	0.968	"$21,096"
13	Neurology	Surgery	4.845	"$105,572"
14	Neurosurgery	All	4.845	"$105,572"
15	Speech language pathology	All	0.012	$269
16	Obstetrics/gynecology	Non-surgery	0.992	"$21,606"
16	Obstetrics/gynecology	OB	3.686	"$80,320"
16	Obstetrics/gynecology	Surgery	2.017	"$43,959"
17	Hospice and palliative care	All	0.780	"$17,002"
18	Ophthalmology	Non-surgery	0.505	"$11,009"
18	Ophthalmology	Surgery	0.918	"$19,992"
19	Oral surgery (dental only)	All	1.313	"$28,608"
20	Orthopedic surgery	All	2.451	"$53,407"
21	Cardiac electrophysiology	Non-surgery	0.815	"$17,761"
21	Cardiac electrophysiology	Surgery	2.763	"$60,199"
22	Pathology	All	0.655	"$14,274"
23	Sports medicine	All	0.740	"$16,125"
24	Plastic and reconstructive surgery	All	2.136	"$46,546"
25	Physical medicine and rehabilitation	All	0.600	"$13,072"
26	Psychiatry	All	0.475	"$10,350"
27	Geriatric psychiatry	All	0.475	"$10,350"
28	Colorectal surgery	All	1.657	"$36,106"
29	Pulmonary disease	All	0.971	"$21,160"
30	Diagnostic radiology	All	1.099	"$23,935"
31	Intensive cardiac rehab	All	0.815	"$17,761"
32	Anesthesiologist assistant	All	0.264	"$5,752"
33	Thoracic surgery	All	2.895	"$63,085"
34	Urology	Non-surgery	0.830	"$18,076"
34	Urology	Surgery	1.480	"$32,245"
35	Chiropractic	All	0.154	"$3,348"
36	Nuclear medicine	All	0.602	"$13,109"
37	Pediatric medicine	All	0.705	"$15,365"
38	Geriatric medicine	Non-surgery	0.682	"$14,864"
38	Geriatric medicine	Surgery	1.649	"$35,925"
39	Nephrology	Non-surgery	0.713	"$15,545"
39	Nephrology	Surgery	1.143	"$24,908"
40	Hand surgery	All	1.964	"$42,792"
41	Optometry	All	0.046	"$1,003"
42	Certified nurse midwife	All	1.021	"$22,246"
43	Certified registered nurse anesthetist (CRNA)	All	0.269	"$5,872"
44	Infectious disease	All	0.910	"$19,830"
45	Mammography screening center	All	0.016	$347
46	Endocrinology	Non-surgery	0.770	"$16,771"
46	Endocrinology	Surgery	1.430	"$31,150"
47	Independent diagnostic testing facility	All	0.016	$347
48	Podiatry	Non-surgery	0.452	"$9,843"
48	Podiatry	Surgery	0.982	"$21,388"
62	Psychologist	All	0.064	"$1,397"
63	Portable x-ray supplier	All	0.014	$313
64	Audiologist	All	0.015	$335
65	Physical therapist	All	0.034	$745
66	Rheumatology	All	0.674	"$14,682"
67	Occupational therapist	All	0.024	$517
68	Clinical psychologist	All	0.064	"$1,387"
69	Clinical laboratory	All	0.016	$347
70	Multispecialty clinic or group practice	All	0.714	"$15,558"
71	Registered dietitian/nutrition professional	All	0.192	"$4,182"
72	Pain management	All	1.128	"$24,579"
75	Slide preparation facilities	All	0.016	$347
76	Peripheral vascular disease	All	2.937	"$64,004"
77	Vascular surgery	All	2.937	"$64,004"
78	Cardiac surgery	All	2.754	"$60,007"
79	Addiction medicine	All	0.484	"$10,544"
80	Licensed clinical social worker	All	0.022	$478
81	Critical care (intensivists)	All	1.200	"$26,157"
82	Hematology	All	0.750	"$16,349"
83	Hematology/oncology	All	0.782	"$17,035"
84	Preventive medicine	All	0.544	"$11,860"
85	Maxillofacial surgery	All	1.670	"$36,384"
86	Neuropsychiatry	All	0.475	"$10,350"
90	Medical oncology	All	0.746	"$16,259"
91	Surgical oncology	All	2.664	"$58,050"
92	Radiation oncology	All	0.918	"$20,005"
93	Emergency medicine	Non-surgery	1.478	"$32,210"
93	Emergency medicine	Surgery	2.854	"$62,182"
94	Interventional radiology	All	1.501	"$32,697"
98	Gynecologist/oncologist	All	2.664	"$58,050"
99	Unknown physician specialty	Non-surgery	0.714	"$15,558"
99	Unknown physician specialty	Surgery	1.229	"$26,769"
C0	Sleep medicine	All	0.909	"$19,797"
C3	Interventional cardiology	All	2.724	"$59,364"
C6	Hospitalist	All	0.940	"$20,485"
C7	Advanced heart failure and transplant cardiology	All	0.815	"$17,761"
C8	Medical toxicology	All	1.478	"$32,210"
C9	Hematopoietic cell transplantation and cellular therapy	All	0.799	"$17,415"
E1	Marriage and family therapist (MFT)	All	0.022	$475
E2	Mental health counselor (MHC)	All	0.022	$488
E3	Dental anesthesiology	All	0.954	"$20,778"
E6	Oral and maxillofacial pathology	All	0.609	"$13,277"
E7	Oral and maxillofacial radiology	All	1.083	"$23,593"
F1	Orofacial pain	All	1.121	"$24,435"