CPT 01967 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 | • 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 01967 |
National average anesthesia conversion factor for CPT 01967 by major payers:
$75.30
$55.77
$65.89
$90.31
| 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 01967 | ||||||
United | 01967 | $40.00 | 1629114814 - MATTHEW BELAN | 311417206 - (OH) PAIN MANAGEMENT ASSOCIATES LLC | WI | Anesthesiology Physician (207L00000X) |
United | 01967 | $59.00 | 1467615252 - COLIN THOMPSON | 900730395 | AZ | Diagnostic Radiology Physician (2085R0202X) |
United | 01967 | $81.00 | 1972778389 - MARIA FUERTES | 810977948 - MCHS HOSPITALS INC | TN | Anesthesiology Physician (207L00000X) |
United | 01967 | $55.00 | 1275713703 - CHAD LEWIS | 900730395 | AZ | Emergency Medicine Physician (207P00000X) |
United | 01967 | $101.00 | 1821071630 - JOHN HEISDORF | 390806261 - THE MEDICAL COLLEGE OF WISCONSIN INC | WI | Anesthesiology Physician (207L00000X) |
United | 01967 | $54.00 | 1316918923 - DAVID BAYLEY | 386000029 - (MI) MYMICHIGAN MEDICAL CENTER ALPENA | WI | Anesthesiology Physician (207L00000X) |
United | 01967 | $59.00 | 1366678534 - CHRISTINA CONRAD | 201291415 | AZ | Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X) |
United | 01967 | $70.00 | 1376655886 - KAREN MECKLENBURG | 363261413 - ALLINA HEALTH SYSTEM | WI | Anesthesiology Physician (207L00000X) |
United | 01967 | $25.00 | 1881293751 - MEGHAN MEYERS | 232700908 - LEHIGH VALLEY PHYSICIAN GROUP | PA | Physician Assistant (363A00000X) |
United | 01967 | $60.00 | 1164560207 - LEO HSIAO | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Anesthesiology Physician (207L00000X) |
United | 01967 | $130.00 | 1093886145 - HALEY OWEN | 391678306 - AURORA MEDICAL GROUP INC | WI | Anesthesiology Physician (207L00000X) |
United | 01967 | $85.00 | 1164560207 - LEO HSIAO | 391678306 - AURORA MEDICAL GROUP INC | IL | Anesthesiology Physician (207L00000X) |
United | 01967 | $60.00 | 1396777389 - SCOTT RICE | 232700908 - LEHIGH VALLEY PHYSICIAN GROUP | PA | Pediatrics Physician (208000000X) |
United | 01967 | $25.00 | 1205871902 - PABLO ADLER | 232700908 - LEHIGH VALLEY PHYSICIAN GROUP | OR | Anesthesiology Physician (207L00000X) |
United | 01967 | $25.00 | 1629445267 - MAURA SNYDER | 232700908 - LEHIGH VALLEY PHYSICIAN GROUP | PA | Medical Physician Assistant (363AM0700X) |
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 01967 vs. Other Anesthesia for Obstetric Procedures Codes
The CPT 01967 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 01967 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 |
| 01966-CPT | Low | Anesthesia For Induced Abortion Procedures |
| 01967-CPT | Moderate | Neuraxial Labor Analgesia/Anesthesia For Planned Vaginal Delivery (This Includes Any Repeat Subarachnoid Needle Placement And Drug Injection And/Or Any Necessary Replacement Of An Epidural Catheter During Labor) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 01967. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 01967 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 01967) and we'll show you how you compare in 15 minutes or less.