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 |
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 | $85.00 | 1619969862 - DAVID HAMMER | 391678306 - AURORA MEDICAL GROUP INC | WI | Anesthesiology Physician (207L00000X) |
United | 01967 | $50.00 | 1972582567 - KENNETH HEERINGA | 390808509 - THE MONROE CLINIC INC | WI | Anesthesiology Physician (207L00000X) |
United | 01967 | $85.00 | 1295700979 - RAMA KUCHIPUDI | 851035186 - (VA) DOGWOOD ANESTHESIA PROVIDERS LLC | FL | Anesthesiology Physician (207L00000X) |
United | 01967 | $104.00 | 1730162223 - MICHAEL KUHN | 391678306 - AURORA MEDICAL GROUP INC | WI | Anesthesiology Physician (207L00000X) |
United | 01967 | $50.00 | 1922486976 - STEVEN ETHIER | 381357020 - HENRY FORD HEALTH SYSTEM | MI | Anesthesiology Physician (207L00000X) |
United | 01967 | $130.00 | 1093886145 - HALEY OWEN | 391678306 - AURORA MEDICAL GROUP INC | WI | Anesthesiology Physician (207L00000X) |
United | 01967 | $60.00 | 1487652517 - CHRISTINE BIEDERMANN | 391824445 - UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC | WI | Anesthesiology Physician (207L00000X) |
United | 01967 | $58.70 | 1407411226 - ALIASGHAR ARASTU | 363738206 - NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES | WI | Anesthesiology Physician (207L00000X) |
United | 01967 | $130.00 | 1609175009 - BRYAN SIMMONS | 391678306 - AURORA MEDICAL GROUP INC | WI | Anesthesiology Physician (207L00000X) |
United | 01967 | $55.79 | 1891783536 - KARL ORTH | 481299029 - (WI) ASSOCIATION OF HOSPITAL ANESTHESIOLOGISTS, S.C. | WI | Anesthesiology Physician (207L00000X) |
United | 01967 | $40.00 | 1639464290 - BRIAN CRENSHAW | 208115693 - (WI) ARC OF LIFE MEDICAL CENTER LLC | WI | Anesthesiology Physician (207L00000X) |
United | 01967 | $81.00 | 1972778389 - MARIA FUERTES | 810977948 - MCHS HOSPITALS INC | TN | Anesthesiology Physician (207L00000X) |
United | 01967 | $36.00 | 1982687810 - GREGORY DOWNS | 391791586 - (WI) ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC | WI | Anesthesiology Physician (207L00000X) |
United | 01967 | $92.00 | 1184252199 - ZACHARY PAQUETTE | 411404075 - MAYO CLINIC | WI | Anesthesiology Physician (207L00000X) |
United | 01967 | $57.43 | 1477728475 - KRISHNA MUDIMBI | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | WI | 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 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.
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