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CPT 01170 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 Open Procs Invol Symphysis Pubis Or Sacroiliac, Anesthesia For Open Procedures Involving Symphysis Pubis Or Sacroiliac
Key FactDetail
Service Type

Anesthesia

Anesthesia for Procedures on the Pelvis (Except Hip)

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

24 - Ambulatory Surgical Center

Common Modifiers

None

P3 - A patient with severe systemic disease

AA - Anesthesia by anesthesiologist

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 01170

National average anesthesia conversion factor for CPT 01170 by major payers:

bcbs

$57.95

uhc

$55.83

aetna

$56.99

cigna

$54.91

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 01170.

CPT 01170
5 of 25 sample ratesHigher to lower in this preview
  1. Stacie Smith

    CAAnesthesiology PhysicianNPI 1043350325Tax ID 94-3281657

    $128.69Published rate
  2. Jodi Sherman

    Yale University

    CAAnesthesiology PhysicianNPI 1205024924Tax ID 60-646973

    $114.08Published rate
  3. Mark Singleton

    CAPediatric Anesthesiology PhysicianNPI 1821016338Tax ID 77-0465765

    $65.00Published rate
  4. Prashanth Sutrave

    CAAnesthesiology PhysicianNPI 1720309420Tax ID 81-1684142

    $60.00Published rate
  5. Udaya Desilva

    Us Desilva Md A Medical

    CAPain Medicine (Anesthesiology) PhysicianNPI 1730100330Tax ID 43-807824

    $38.00Published rate

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

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CPT 01170 vs. Other Anesthesia for Procedures on the Pelvis (Except Hip) Codes

The CPT 01170 code is part of the Anesthesia services used for Anesthesia for Procedures on the Pelvis (Except Hip). 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 01170 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
01120-CPTModerateAnesthesia For Pelvic Bones, Anesthesia Services For Procedures Involving The Pelvic Bones And The Bony Structures That Attach To It Such As Repair Of A Broken Pelvis.
01130-CPTLowAnes Apply Revise Body Cast
01140-CPTModerateAnesthesia For Amputation, Anesthesia Services For A Surgery To Amputate The Hindquarter (Area Encompassing The Hip Pelvis And Part Of The Abdomen).
01170-CPTModerateAnesthe For Open Procs Invol Symphysis Pubis Or Sacroiliac, Anesthesia For Open Procedures Involving Symphysis Pubis Or Sacroiliac

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01170. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 01170 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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