CPT 01966 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 Obstetric Procedures |
| Common Place of Service | • 24 - Ambulatory Surgical Center • 11 - Office • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • AA - Anesthesia by anesthesiologist • QS - Monitored anesthesia care service • None |
| Complexity Level | Low |
National average anesthesia conversion factor for CPT 01966 by major payers:
$49.61
$54.24
$56.82
$55.38
| 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 01966 | ||||||
United | 01966 | $57.00 | 1407807100 - MOHAN ETTYREDDY | 203459547 - (OH) ADVANCED ANESTHESIA ASSOCIATES, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01966 | $35.00 | 1770019580 - HOOMAN GOLFEIZ | 954457756 - (CA) CEDARS-SINAI MEDICAL CARE FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 01966 | $25.00 | 1942296025 - JOSE REYES | 956130458 - EISENHOWER MEDICAL CENTER | CA | Anesthesiology Physician (207L00000X) |
United | 01966 | $46.00 | 1922032283 - SANDEEP KHANNA | 941754129 - (CA) PEDIATRIC ANESTHESIA ASSOCIATES MEDICAL GROUP, INC. | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01966 | $52.00 | 1275675613 - ERNESTINE PETTY | 463842055 - (CA) HP ANESTHESIA INC | CA | Anesthesiology Physician (207L00000X) |
United | 01966 | $70.00 | 1386062115 - JESSICA HOLLINGSWORTH | 930579722 - SALEM HEALTH | CA | Anesthesiology Physician (207L00000X) |
United | 01966 | $65.00 | 1104213941 - ROBERT HAUGHTON | 330500394 - (CA) CALIFORNIA ANESTHESIA ASSOCIATES MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01966 | $45.29 | 1235190158 - MONIQUE MCCORMICK | 470376606 - (NE) FATHER FLANAGANS BOYS HOME | CA | Anesthesiology Physician (207L00000X) |
United | 01966 | $86.00 | 1790733111 - JUDI TURNER | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 01966 | $55.00 | 1356310957 - ANDREW THIO | 432115567 - (CA) THIO, ANDREW, M.D., INC. | CA | Anesthesiology Physician (207L00000X) |
United | 01966 | $70.00 | 1235559782 - TRAVIS REECE-NGUYEN | 260089066 | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 01966 | $60.00 | 1316332166 - SAMIR BHAKTA | 882517801 - (CA) MOCHI MEDICAL PA | CA | Anesthesiology Physician (207L00000X) |
United | 01966 | $78.00 | 1003343211 - ELYSE GURAN | 954656412 - (CA) PACIFIC VALLEY MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 01966 | $55.00 | 1710149711 - HOOMAN RASTEGAR | 953942828 - (CA) PIH HEALTH PHYSICIANS | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 01966 | $61.00 | 1255534129 - SARAH VANKOVA | 943281657 | 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 |
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CPT 01966 vs. Other Anesthesia for Obstetric Procedures Codes
The CPT 01966 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 01966 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 |
|---|---|---|
| 01961-CPT | Moderate | Anesthesia For; Cesarean Delivery Only |
| 01962-CPT | Moderate | Anesthesia For; Urgent Hysterectomy Following Delivery |
| 01963-CPT | Moderate | Anesthesia For; Cesarean Hysterectomy Without Any Labor Analgesia/Anesthesia Care |
| 01966-CPT | Low | Anesthesia For Induced Abortion Procedures |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01966. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01966 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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