CPT 01274 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 Upper Leg (Except Knee) |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital • 23 - Emergency Room |
| Common Modifiers | • None • AA - Anesthesia by anesthesiologist • QX - Qualified nonphysician anesthetist service: With medical direction by a physician |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 01274 by major payers:
$54.22
$55.62
$56.95
$54.58
| 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 01274 | ||||||
United | 01274 | $117.22 | 1871941021 - SIMON KIM | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 01274 | $60.00 | 1669578209 - SHARAD SINGH | 770460802 | CA | Anesthesiology Physician (207L00000X) |
United | 01274 | $55.00 | 1457514978 - MICHAEL HARUTUNIANS | 880817607 - (CA) EXCELLE ANESTHESIA SERVICES INC | CA | Anesthesiology Physician (207L00000X) |
United | 01274 | $45.00 | 1730100330 - UDAYA DESILVA | 952082686 - RIDGECREST REGIONAL HOSPITAL | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01274 | $121.22 | 1366061319 - ROBERT SUTTER | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01274 | $50.00 | 1023126869 - KYUNG RO | 203878757 - (CA) KYUNG K RO MD PROFESSIONAL CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 01274 | $70.00 | 1285669226 - ANITA HONKANEN | 260089066 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01274 | $63.00 | 1598771511 - GARY HUM | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01274 | $81.44 | 1871972505 - CHARLES SCHOEPFLIN | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Anesthesiology Physician (207L00000X) |
United | 01274 | $65.00 | 1548235567 - STUART BLOOM | 953904723 | CA | Anesthesiology Physician (207L00000X) |
United | 01274 | $128.69 | 1316011612 - ROBERT KAROUKIAN | 943281660 | CA | Anesthesiology Physician (207L00000X) |
United | 01274 | $70.00 | 1538206131 - JOHN PECKHAM | 930579722 - SALEM HEALTH | CA | Anesthesiology Physician (207L00000X) |
United | 01274 | $60.00 | 1790761344 - HONG LIU | 680334324 | CA | Anesthesiology Physician (207L00000X) |
United | 01274 | $41.00 | 1982863536 - JACK BAIRAMIAN | 464150987 - (CA) VALLEY CHILDRENS MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 01274 | $128.69 | 1942336615 - AMY LU | 943281663 | 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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 01274 vs. Other Anesthesia for Procedures on the Upper Leg (Except Knee) Codes
The CPT 01274 code is part of the Anesthesia services used for Anesthesia for Procedures on the Upper Leg (Except Knee). 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 01274 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 01274. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01274 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 01274) and we'll show you how you compare in 15 minutes or less.