CPT 00174 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Anesthesia • Anesthesia for Procedures on the Head |
| Common Place of Service | • 24 - Ambulatory Surgical Center • 11 - Office • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • QZ - CRNA service; without medical direction by a physician • P1 - A normal healthy patient |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 00174 by major payers:
$54.29
$54.09
$57.02
$55.33
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 00174 | ||||||
United | 00174 | $128.69 | 1982328175 - ALICE BARNES | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00174 | $83.00 | 1598214108 - CEP AMERICA, VITUITY | 471884235 - CEP AMERICA | CA | Anesthesiology Physician (207L00000X) |
United | 00174 | $55.00 | 1952585895 - NAVEEN MEHRA | 741586031 | CA | Anesthesiology Physician (207L00000X) |
United | 00174 | $35.00 | 1427048016 - NICOLA D'ATTELLIS | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00174 | $69.00 | 1689818056 - NICHOLAS KRIER | 770217510 | CA | Anesthesiology Physician (207L00000X) |
United | 00174 | $74.00 | 1437507688 - GREGORY ATKINSON | 952655301 - (CA) ANESTHESIA MEDICAL GROUP OF SANTA BARBARA, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00174 | $38.00 | 1083907752 - CHANG-HO CHON | 832820595 - (CA) FOCUSED CARE ANESTHESIA CONSULTANTS INC | CA | Anesthesiology Physician (207L00000X) |
United | 00174 | $121.22 | 1861438566 - SIAMAK RAHMAN | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00174 | $70.00 | 1477529170 - MIHIRI DESILVA-KLEBICKI | 930579722 - SALEM HEALTH | CA | Anesthesiology Physician (207L00000X) |
United | 00174 | $61.00 | 1487072195 - ALBERT YEN | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00174 | $54.00 | 1003857350 - STEVEN VITCOV | 943158784 - (CA) ANESTHESIA CARE ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00174 | $47.00 | 1861437360 - PHILLIP RIDDLE | 204809307 - (CA) SOLANO ANESTHESIA CONSULTANTS INC | CA | Anesthesiology Physician (207L00000X) |
United | 00174 | $55.00 | 1871520916 - MARK SCHWARTZ | 237064656 - HEALING THE SOUL | CA | Anesthesiology Physician (207L00000X) |
United | 00174 | $64.00 | 1619471679 - SHAGUN MOHAN | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 00174 | $58.52 | 1679597827 - SERGIO GO | 952282647 - (CA) WHITE MEMORIAL MEDICAL CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 00174 vs. Other Anesthesia for Procedures on the Head Codes
The CPT 00174 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 00174 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00174. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00174 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.
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