Anesthesia conversion factor
Commercial anesthesia conversion factor
- Aetna
- $92.94
- Cigna
- $111.92
- United
- $93.20
- Anthem
- $127.20
Anesthesia reimbursement rates in Wisconsin
Compare commercial anesthesia conversion factors and service-line payment structures across payers, provider entities, and states.
50 payers in national source data50 states in national dataset31 billing codes in national dataset
Rate data shownJun–Jul 2026About these rates
Anesthesia rate explorerCommercial professional conversion factors
Rate measure$ per anesthesia unit
Billing contextProfessional · Modifier None / 00
Compare national anesthesia conversion factors by payer
Start with professional anesthesia unit rates, then compare payer ranges and named billing entities in the state relevant to your question.
Wisconsin anesthesia reference averages
Publication period: Jun–Jul 2026Aetna state variation in anesthesia unit rates
LowerHigher
National
Detailed state rates are locked; national comparisons are shown.National anesthesia unit-rate distribution
PayerMedian
Published rate$ per anesthesia unit
$70$80$90$100$110
AetnaJul 2026
AetnaProviders85,756Average$83.19
$78median
CignaJun–Jul 2026
CignaProviders72,681Average$91.95
$86median
UnitedJun–Jul 2026
UnitedProviders64,475Average$81.29
$76median
AnthemJun–Jul 2026
AnthemProviders80,673Average$93.79
$90median
Each marker shows the median eligible conversion-factor record published by that payer.
National conversion-factor rates by payer
| Payer | Rate period | Provider entities | P25 | Median | P75 | P90 | Average |
|---|---|---|---|---|---|---|---|
| Aetna | Jul 2026 | 85,756 | $78 | $83.19 | |||
| Cigna | Jun–Jul 2026 | 72,681 | $86 | $91.95 | |||
| United | Jun–Jul 2026 | 64,475 | $76 | $81.29 | |||
| Anthem | Jun–Jul 2026 | 80,673 | $90 | $93.79 |
About these rates
About this rate table
- Source
- Negotiated or fee-schedule amounts published directly by payers in their machine-readable files.
- Rate shown
- Published commercial conversion factor in dollars per anesthesia unit.
- Method
- Eligible professional rates are standardized for billing code, unit logic, and payer reporting so the comparison stays on the same basis.
Case rates, daily management amounts, and code-level fees remain separate in the service-line table.
How do specific anesthesia providers compare?
Compare named provider unit rates with the selected payer's median and percentile distribution.
National: Anesthesia provider conversion-factor rates by payer
| Provider entity | State | Size | $ per anesthesia unit | Gap to median | Position in Aetna range |
|---|---|---|---|---|---|
| GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES INCNPI 1114927456 · Tax ID 262813100 | IN | 378 | $29.36 | -$48.64 | Below P25 |
| PASADENA CENTER FOR ASTHMA LUNG DISORDERS LLCNPI 1104808054 · Tax ID 263769693 | FL | 7 | $40 | -$38 | Below P25 |
| OHIOHEALTH CORPORATION GRANT RIVERSIDE DOCTORS DUBLIN METNPI 1235343849 · Tax ID 314394942 | MN | 5,673 | $45 | -$33 | Below P25 |
| BA VENTURES LLCNPI 1154093847 · Tax ID 464230784 | OR | 11 | $53 | -$25 | Below P25 |
| TAORMINA ANESTHESIA ASSOCIATES LLCNPI 1245261569 · Tax ID 834333098 | MD | 35 | $70.36 | -$7.64 | P25 to median |
| BRAIN AND SPINE INSTITUTE OF CALIFORNIA INCNPI 1972890796 · Tax ID 451499030 | CA | 10 | Above P75 |
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No trial or data preparation required.How reimbursement changes across anesthesia services
Keep anesthesia case rates, obstetric services, regional blocks, daily pain management, qualifying circumstances, and adjacent professional services in their appropriate payment units.
| Service line / billing code | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|
Case rate · 4 codes | ||||
00731Anesthesia for upper gastrointestinal endoscopy | $392.59 | $460.31 | $103.19 | $532.58 |
00811Anesthesia for lower intestinal endoscopy | $329.58 | $368.50 | $103.19 | $459.39 |
00812Anesthesia for screening colonoscopy | $329.87 | $368.69 | $103.19 | $458.26 |
00813Anesthesia for combined upper and lower GI endoscopy | $377.54 | $460.31 | $103.19 | $542.58 |
Delivery-specific case rate · 2 codes | ||||
01961Anesthesia for cesarean delivery only | $604.59 | $914.70 | $80.30 | $988.84 |
01967Neuraxial labor analgesia for vaginal delivery | $504.48 | $944.55 | $80.30 | $929.49 |
Per service · 1 code | ||||
64447Continuous femoral nerve block injection | $202.46 | $170.06 | $217.13 | $167.94 |
Per day · 1 code | ||||
01996Daily management of continuous epidural or subarachnoid drug administration | $291.74 | $278 | $243.71 | $304.35 |
Per service or reported amount · 5 codes | ||||
01999Unlisted anesthesia procedure | $84.70 | $562.08 | $80.30 | $127,014.94 |
64999Unlisted nervous-system procedure | $1,157.83 | $2,513.32 | Not available | $3.80 |
99100Anesthesia qualifying circumstance for extreme age | $143.48 | $90.87 | $58.75 | $62 |
99199Unlisted special service, procedure, or report | $4,069.94 | $1,456.77 | $43.94 | $2.07 |
99214Established patient office visit, moderate complexity | $137.63 | $173.47 | $198.47 | $166.43 |
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Book a 20-min scoping call No trial or data preparation required.How these anesthesia rates are calculated
Use this methodology to understand what each published conversion factor or service rate represents and which billing details must match before comparing anesthesia reimbursement.
- Rate sourceEach value is a negotiated professional anesthesia rate published in a payer machine-readable file, not a paid claim, billed charge, or facility payment.
- Rate calculationConversion-factor records are grouped by payer and geography. National and state summaries are not weighted by case volume, base units, time units, or patient acuity.
- Provider entityNamed examples use payer-file NPI and TIN records and may represent an individual clinician, anesthesia group, health system, or another billing entity.
- Comparable ratesMatch the payment structure, billing class, place of service, payer product, network, and modifiers such as AA, QK, QX, QY, and QZ. Conversion factors, case rates, daily amounts, and code-level fees are not interchangeable.
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Explore anesthesia rates by state
Choose a state to compare payer reference averages for common services.
How to interpret anesthesia rates
How to interpret the selected market and payer-published rates.
What is an anesthesia conversion factor?
An anesthesia conversion factor is the contracted dollar value applied to anesthesia units. The allowed amount is typically based on base units plus time units, then adjusted by the payer's rules and any applicable modifiers.
How can commercial anesthesia rates be compared across payers?
First separate conversion-factor arrangements from case rates, daily management amounts, fee schedules, and percentage-of-Medicare terms. Then align the billing codes, modifiers, place of service, provider entities, plans, networks, and contract periods.
Why can the same anesthesia billing code have different rates?
A published rate can vary by payer, plan, network, provider entity, place of service, modifier, payment structure, and contract period. The billing code alone does not establish an apples-to-apples comparison.
What does percentage of Medicare mean in an anesthesia contract?
Some anesthesia contracts price services as a percentage of the Medicare anesthesia methodology rather than a flat commercial conversion factor. The result depends on the applicable base units, time units, geographic adjustment, conversion factor, and contract terms.
Where do the rates on this page come from?
The rates come from negotiated prices published directly by payers in their machine-readable files. PayerPrice identifies eligible professional anesthesia records and organizes them into comparable unit, case, daily, or per-service views. They are not claims, utilization, or guaranteed reimbursement.
Can these published rates be used to benchmark an anesthesia contract?
Published rates can provide market evidence, but they are not a standalone valuation of a contract. A negotiation-ready benchmark should match the state, payer, plan or network, provider peer set, service lines, billing context, and payment methodology relevant to the contract.