Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 00162 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Anesthe For Procs On Nose & Accessory Sinuses; Radical Surge, Anesthesia For Procedures On Nose And Accessory Sinuses; Radical Surge
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Head |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None AA - Anesthesia by anesthesiologist P3 - A patient with severe systemic disease |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00162 |
National average anesthesia conversion factor for CPT 00162 by major payers:
$57.99
$55.80
$57.05
$54.74
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 00162.
CPT 00162
5 of 25 sample ratesHigher to lower in this preview
Karvier Yates
$128.69Published rateChristopher Ortiz
$86.00Published ratePaul Rabedeaux
Generations Fertility Care Inc
$60.00Published rateAlexander Pekurovsky
Spine Institute Of North America
$52.00Published rateChihjen Lee
Cedars-Sinai Medical Care Foundation
$35.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 00162 vs. Other Anesthesia for Procedures on the Head Codes
The CPT 00162 code is part of the Anesthesia services used for Anesthesia for Procedures on the Head. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 00162 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 00160-CPT | Moderate | Anesthe For Procs On Nose & Accessory Sinuses; Not Otherwise, Anesthesia For Procedures On Nose And Accessory Sinuses; Not Otherwise |
| 00162-CPT | Moderate | Anesthe For Procs On Nose & Accessory Sinuses; Radical Surge, Anesthesia For Procedures On Nose And Accessory Sinuses; Radical Surge |
| 00164-CPT | Low | Anesthe For Procs On Nose & Accessory Sinuses; Biops Soft, Anesthesia For Procedures On Nose And Accessory Sinuses; Biopsy Soft |
| 00170-CPT | Moderate | Anesthesia For Mouth Procedure, Anesthesia Services For A Procedure On The Inside Of The Mouth. Procedures Can Include Removing A Sample Of Tissue For Testing (Biopsy) Tumor Removal And Saliva Gland Surgery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00162. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00162 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 00162) and we'll show you how you compare in 15 minutes or less.