Aetna Anesthesiology
Compare Aetna's contracted rates for anesthesiology services against national averages and other major payers. Use these benchmarks to identify underpaid codes, prepare for contract renegotiations, and validate your reimbursement strategy.
Aetna's commercial fee schedules are typically tiered by site-of-service and product line, with distinct rate structures for HMO, PPO, and Medicare Advantage networks.
Introduction
Anesthesiology reimbursement uses a unique base unit plus time unit formula that differs from standard CPT fee-for-service billing. Each anesthesia CPT code carries a base unit value reflecting procedure complexity, and time units are added based on actual anesthesia duration, making anesthesia contracts fundamentally different from other specialty agreements.
Commercial payer contracts for anesthesia are negotiated as a per-unit conversion factor multiplied by total units (base + time + modifier). Understanding how your conversion factor compares across payers and against national benchmarks is critical — even small differences in the per-unit rate compound across thousands of cases annually.
General Anesthesia by Body Region
Head, Neck & Thorax
Anesthesia for procedures on the head, neck, and chest. These carry higher base units reflecting the complexity of airway management and proximity to critical structures.
| Billing Code | Description | Revenue Code | Description | Avg. National Aetna Rate |
|---|---|---|---|---|
| 00100 | Anesthesia For Procedures On Integumentary System Of Head And/Or Salivary Glands,Includ-Ing Biopsy;Not Otherwise Spec. | 0370 | Anesthesia | $238.04 |
| 00300 | Anesthesia For All Procedures On The Integumentary System, Muscles And Nerves Of Head, Neck, And Posterior Trunk, Not Otherwise Specified | 0370 | Anesthesia | $211.07 |
| 00400 | Anesthesia For Procedures On The Integumentary System On The Extremities, Anterior Trunk And Perineum; Not Otherwise Specified | 0370 | Anesthesia | $148.92 |
| 00142 | Anesthesia For Procedures On Eye; Lens Surgery (Units: 4 Asa: 6) | 0370 | Anesthesia | $184.38 |
Abdomen, Pelvis & Spine
Anesthesia for abdominal, pelvic, and spinal procedures. These represent high-volume surgical cases and form the bulk of anesthesia department caseload at most hospitals.
| Billing Code | Description | Revenue Code | Description | Avg. National Aetna Rate |
|---|---|---|---|---|
| 00600 | Anes Cerv Spine/Cord; Nos | 0370 | Anesthesia | $414.31 |
| 00790 | Anes Intraperitoneal Inc Shunts; Nos | 0370 | Anesthesia | $271.22 |
| 00800 | Anes Low Anterior Abdominal Wall; Nos | 0370 | Anesthesia | $198.98 |
| 00810 | 0370 | Anesthesia | — |
Extremities
Anesthesia for upper and lower extremity procedures including orthopedic surgeries. Extremity cases often use regional anesthesia techniques that may be billed separately.
| Billing Code | Description | Revenue Code | Description | Avg. National Aetna Rate |
|---|---|---|---|---|
| 01710 | Anesthesia For Procedures On Nerves, Muscles, Tendons, Fascia, And Bursae Of Upper Arm And Elbow; Not Otherwise Specified | 0370 | Anesthesia | $161.05 |
| 01380 | Anes Knee Joint Closed | 0370 | Anesthesia | $166.91 |
| 01480 | Anes Low Leg Ankle Ft Bones Nos | 0370 | Anesthesia | $150.19 |
Obstetric Anesthesia
Labor & Delivery Anesthesia
Anesthesia for vaginal and cesarean delivery, including labor epidurals. OB anesthesia is a high-volume service line with unique call coverage requirements that factor into contract negotiations.
| Billing Code | Description | Revenue Code | Description | Avg. National Aetna Rate |
|---|---|---|---|---|
| 01960 | Anesthesia For; Vaginal Delivery Only | 0370 | Anesthesia | $304.39 |
| 01961 | Anesthesia For; Cesarean Delivery Only | 0370 | Anesthesia | $334.92 |
| 01967 | 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) | 0370 | Anesthesia | $274.78 |
| 01968 | Anesthesia For Cesarean Delivery Following Neuraxial Labor Analgesia/Anesthesia (List Separately In Addition To Code For Primary Procedure Performed) | 0370 | Anesthesia | $178.30 |
Regional Anesthesia & Nerve Blocks
Epidural & Spinal Injections
Neuraxial anesthesia techniques including epidural and spinal injections for surgical anesthesia and pain management. These are billed separately from the primary anesthesia service when performed for postoperative pain control.
| Billing Code | Description | Revenue Code | Description | Avg. National Aetna Rate |
|---|---|---|---|---|
| 62322 | Injection(S) Of Diagnostic Or Therapeutic Sub- Stance(S) (Eg Anesthetic Antispasmodic Opioid Steroid Other Solution) Not Including Neurolyticsubstances Including Needle Or Catheter Placementinterlaminar Epidural Or Subarachnoid Lumbar Or Sacral (Caudal); Without Imaging Guidance | 0370 | Anesthesia | $221.43 |
| 62321 | Injection(S) Of Diagnostic Or Therapeutic Su- Stance(S) (Eg Anesthetic Antispasmodic Opioid Steroid Other Solution) Not Including Neurolyticsubstances Including Needle Or Catheter Placementinterlaminar Epidural Or Subarachnoid Cervical Or Thoracic; With Imaging Guidance (Ie Fluoro- Scopy Or Ct) | 0370 | Anesthesia | $372.30 |
| 62323 | Injection(S) Of Diagnostic Or Therapeutic Sub- Stance(S) (Eg Anesthetic Antispasmodic Opioid Steroid Other Solution) Not Including Neurolyticsubstances Including Needle Or Catheter Placementinterlaminar Epidural Or Subarachnoid Lumbar Or Sacral (Caudal); With Imaging Guidance (Ie Fluoro-Scopy Or Ct) | 0370 | Anesthesia | $367.99 |
Peripheral Nerve Blocks
Ultrasound-guided peripheral nerve blocks for surgical anesthesia and enhanced recovery protocols. Nerve blocks are increasingly used as part of multimodal analgesia programs and are billable in addition to the primary anesthetic.
| Billing Code | Description | Revenue Code | Description | Avg. National Aetna Rate |
|---|---|---|---|---|
| 64486 | Transversus Abdominis Plane (Tap) Block (Abdominal Plane Block, Rectus Sheath Block) Unilateral; By Injection(S) (Includes Imaging Guidance, When Performed) | 0370 | Anesthesia | $175.22 |
| 64447 | Injection(S) Anesthetic Agent(S) And/Or Steroid; Femoral Nerve Including Imaging Guidance When Performed (Desc Rvsd 1/1/23) | 0370 | Anesthesia | $163.57 |
| 64445 | Injection(S) Anesthetic Agent(S) And/Or Steroid; Sciatic Nerve Including Imaging Guidance When Performed (Desc Rvsd 1/1/23) | 0370 | Anesthesia | $209.86 |
| 64415 | Injection(S) Anesthetic Agent(S) And/Or Steroid; Brachial Plexus Including Imaging Guidance When Performed (Desc Rvsd 1/1/23) | 0370 | Anesthesia | $193.71 |
Monitored Anesthesia Care & Sedation
MAC & Moderate Sedation
Monitored anesthesia care (MAC) and moderate sedation services for procedures that do not require general anesthesia. MAC is billed using the same base unit + time formula as general anesthesia and is common in endoscopy, cardiac catheterization, and interventional radiology settings.
| Billing Code | Description | Revenue Code | Description | Avg. National Aetna Rate |
|---|---|---|---|---|
| 01996 | Daily Management Epidural Subarachnoid D | 0370 | Anesthesia | $172.08 |
| 99151 | Moderate Sedation Services Provided By The Same Physician Or Other Qualified Health Care Professional Performing The Diagnostic Or Therapeutic Service That The Sedation Supports Requiring The Presence Of An Independent Trained Observer To Assist In The Monitoring Of The Patients Level Of Consciousness And Physiologicalstatus; Initial 15 Minutes Of Intraservice Time Patient Younger Than 5 Years Of Age (Reinstated 01/01/2017). | 0370 | Anesthesia | $96.66 |
| 99152 | Moderate Sedation Services Provided By The Same Physician Or Other Qualified Health Care Professional Performing The Diagnostic Or Therapeutic Service That The Sedation Supports Requiring The Presence Of An Independent Trained Observer To Assist In The Monitoring Of The Patients Level Of Consciousness And Physiologicalstatus; Initial 15 Minutes Of Intraservice Time Patient Age 5 Years Or Older. (Reinstated 01/01/2017). | 0370 | Anesthesia | $71.05 |
| 99153 | Moderate Sedation Services Provided By The Same Physician Or Other Qualified Health Careprofes- Sional Performing The Diagnostic Or Therapeutic Service That The Sedation Supports Requiring The Presence Of An Independent Trained Observer To Assist In The Monitoring Of The Patients Levelof Consciousness And Physiological Status; Each Additional 15 Minutes Intraservice Time (List Se- Parately In Addition To Code For Primary Service) | 0370 | Anesthesia | $15.37 |
What is a fee schedule?
A fee schedule is a list of negotiated prices that healthcare providers charge for specific services. These prices vary by payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the applicable fee schedule helps providers optimize billing for accurate reimbursement and helps patients anticipate out-of-pocket costs.
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.
View anesthesiology fee schedules for other major payers
What is Price Transparency?
The federal Price Transparency Rule took effect in July 2022, requiring all commercial payers to publicly disclose their prices through machine-readable files (MRFs). This landmark regulation mandates that insurance companies make healthcare costs transparent to the public. Read more here.
PayerPrice gives you access to the actual prices that insurers are legally required to publish under the Price Transparency Rule. We deliver this data exactly as reported in the insurers' machine-readable files, giving you an accurate view of negotiated rates. While insurers occasionally report incomplete or inaccurate data, our platform ensures you see the same information that insurers have made publicly available.
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