PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates

CPT 00921 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.

Anesthesia For Male Genitals, Anesthesia Services For Procedures Involving A Mans Genitals Such As Vasectomy Or Procedures Of The Urethra Or Seminal Vesicles.
Key FactDetail
Service Type

Anesthesia

Anesthesia for Procedures on the Perineum

Common Place of Service

24 - Ambulatory Surgical Center

22 - On Campus Outpatient Hospital

11 - Office

Common Modifiers

None

AA - Anesthesia by anesthesiologist

QS - Monitored anesthesia care service

Complexity LevelLow
Medicare Fee ScheduleView Medicare rates for 00921

National average anesthesia conversion factor for CPT 00921 by major payers:

bcbs

$45.84

uhc

$54.10

aetna

$55.28

cigna

$22.12

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 00921.

CPT 00921
5 of 25 sample ratesHigher to lower in this preview
  1. Mark Wittman

    Faculty Physicians And Surgeons Of Llusm

    CACritical Care Medicine (Anesthesiology) PhysicianNPI 1295723708Tax ID 33-0672915

    $135.50Published rate
  2. Dominique Jean

    North Shore-Lij Anesthesiology PC

    CAPediatric Anesthesiology PhysicianNPI 1326272055Tax ID 46-1617561

    $90.00Published rate
  3. Anjali Dixit

    CAPediatric Anesthesiology PhysicianNPI 1922460609Tax ID 77-0465765

    $65.00Published rate
  4. Huong Le

    CAAnesthesiology PhysicianNPI 1366636862Tax ID 46-4316329

    $58.00Published rate
  5. Meg Ohare

    Meg Ohare Md Inc

    CAAnesthesiology PhysicianNPI 1619131935Tax ID 99-3210643

    $38.00Published rate

National sample. Rates vary by location, specialty, and contract.

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.

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 comparison

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 proposal

CPT 00921 vs. Other Anesthesia for Procedures on the Perineum Codes

The CPT 00921 code is part of the Anesthesia services used for Anesthesia for Procedures on the Perineum. 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 00921 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.

CodeComplexityDescription
00920-CPTLowAnesthesia For Male Genitals, Anesthesia Services For Procedures Involving A Mans Genitals Such As Vasectomy Or Procedures Of The Urethra Or Seminal Vesicles.
00921-CPTLowAnesthesia For Male Genitals, Anesthesia Services For Procedures Involving A Mans Genitals Such As Vasectomy Or Procedures Of The Urethra Or Seminal Vesicles.
00922-CPTLowAnesthesia For Male Genitals, Anesthesia Services For Procedures Involving A Mans Genitals Such As Vasectomy Or Procedures Of The Urethra Or Seminal Vesicles.
00924-CPTLowAnesthesia Testicle Surgery, Anesthesia Services For Surgery Involving The Testicles. Example Procedures Include Removal Repair Or Reconstruction Of The Testicles. Sometimes A Procedure Will Involve Removing Nearby Lymph Glands.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00921. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 00921 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 00921) and we'll show you how you compare in 15 minutes or less.