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See a sample rate comparisonCPT 01961 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; Cesarean Delivery Only
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Obstetric Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | None AA - Anesthesia by anesthesiologist QZ - CRNA service; without medical direction by a physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 01961 |
| Medicaid Fee Schedule | View Medicaid rates for 01961 |
National average anesthesia conversion factor for CPT 01961 by major payers:
$50.70
$55.81
$62.83
$56.01
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CPT 01961
5 of 25 sample ratesHigher to lower in this preview
Gerald O'Gorman
U.S. Anesthesia Partners Of Texas, P.A.
$121.54Published rateKayla Knuf
$65.00Published rateSamir Gandhi
$55.00Published rateDale Capener
$55.00Published rateJoe Robinson
$47.00Published rate
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See a sample payer proposalCPT 01961 vs. Other Anesthesia for Obstetric Procedures Codes
The CPT 01961 code is part of the Anesthesia services used for Anesthesia for Obstetric Procedures. 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 01961 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 |
|---|---|---|
| 01960-CPT | Moderate | Anesthesia For; Vaginal Delivery Only |
| 01961-CPT | Moderate | Anesthesia For; Cesarean Delivery Only |
| 01962-CPT | Moderate | Anesthesia For; Urgent Hysterectomy Following Delivery |
| 01963-CPT | Moderate | Anesthesia For Uterus Removal, Anesthesia Services For An Abdominal Hysterectomy Performed Immediately After Giving Birth. The Birth Is Usually By C-Section. A Spinal Block (Epidural) May Have Been Given For An Attempted Vaginal Birth. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01961. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01961 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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