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 00794 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.
Anes Iper Upr Abd Pncrtect, Anesthesia For Intraperitoneal Procedures In Upper Abdomen Including Laparoscopy Pancreatectomy Partial Or Total Eg Whipple Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Upper Abdomen |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None P3 - A patient with severe systemic disease AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00794 |
National average anesthesia conversion factor for CPT 00794 by major payers:
$52.06
$55.79
$56.98
$54.91
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 00794.
CPT 00794
5 of 25 sample ratesHigher to lower in this preview
Ramana Naidu
$128.69Published rateRicardo Carranza
Pilot Anesthesia PLLC
$90.00Published rateKhaim Koifman
Buena Vista Anesthesia Medical Group
$62.00Published rateAngela Azar
$55.50Published rateTodd Smith
Eisenhower Medical Center
$25.00Published 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 00794 vs. Other Anesthesia for Procedures on the Upper Abdomen Codes
The CPT 00794 code is part of the Anesthesia services used for Anesthesia for Procedures on the Upper Abdomen. 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 00794 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 |
|---|---|---|
| 00702-CPT | Low | Anesthesia For Liver Surgery, Anesthesia Services For Liver Surgery. Procedures Can Include Removing A Sample Of Tissue For Testing (Biopsy) Management Of Bleeding Or Partial Removal Of The Organ. |
| 00731-CPT | Moderate | Anesthesia For Upper Gastroint, Anesthesia For Upper Gastrointestinal Endoscopic Procedures Endoscope Introduced Proximal To Duodenum Not Otherwise Specified Nterpretation And Report Tery Disease Data Preparation And Transmission A |
| 00732-CPT | Moderate | Anesthesia For Upper Gastroint, Anesthesia For Upper Gastrointestinal Endoscopic Procedures Endoscope Introduced Proximal To Duodenum Endoscopic Retrograde Cholangiopancreatography(Ercp) Nterpretation And Report Tery Disease Data Preparation And Transmission A |
| 00794-CPT | Moderate | Anes Iper Upr Abd Pncrtect, Anesthesia For Intraperitoneal Procedures In Upper Abdomen Including Laparoscopy Pancreatectomy Partial Or Total Eg Whipple Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00794. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00794 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 00794) and we'll show you how you compare in 15 minutes or less.