Rate Benchmarking
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See a sample rate comparisonCPT 00802 is classified under Anesthesia, in the Anesthesia for Procedures on the Lower Abdomen subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Procedures on the Lower Abdomen |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | AA - Anesthesia by anesthesiologist QK - Medical direction of two, three or four concurrent anesthesia procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00802 |
National average anesthesia conversion factor for CPT 00802 by major payers:

$60.51
BCBS / Anthem

$71.63
UnitedHealthcare

$65.86
Aetna

$54.41
Cigna
Choose a payer to see a sample of rates for CPT 00802.
Sebastian Zeiner
Joel Stockman
Paul Cattafi
Anesthesia Service Medical Group, Inc.
Kurt Fink
Chronic Pain Management Clinic A Medical Corporation
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 00802 vs. Other Anesthesia for Procedures on the Lower Abdomen Codes
The table lists codes related to 00802. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 00800-CPT | Low | Anesthe For Procs On Lower Anterio Abdomi Wall; Not Otherw, Anesthesia For Procedures On Lower Anterior Abdominal Wall; Not Otherw |
| 00802-CPT | Moderate | Anesthesia Abdomen Shaping, Anesthesia Services For Surgery To Remove Excess Skin And Reconstruct The Lower Portion Of The Abdominal Wall (Abdominal Apron). |
| 00811-CPT | Low | Anesthesia For Lower Intestina, Anesthesia For Lower Intestinal Endoscopic Procedures Endoscope Introduced Distal To Duodenum Not Otherwise Specified Nterpretation And Report Tery Disease Data Preparation And Transmission A |
| 00812-CPT | Low | Anesthesia For Lower Intestina, Anesthesia For Lower Intestinal Endoscopic Procedures Endoscope Introduced Distal To Duodenum Screening Colonoscopy Nterpretation And Report Tery Disease Data Preparation And Transmission A |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00802. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00802 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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