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 Mouth Procedure, Anesthesia Services For A Procedure On The Inside Of The Mouth. Procedures Can Include Removing A Sample Of Tissue For Testing (Biopsy) Tumor Removal And Saliva Gland Surgery. | 0370 | Anesthesia | $238.04 |
| 00300 | Anes All Px Integ H/N/Ptrunk, 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 | Anesth Skin Ext Per Atrunk, Anesthesia For Procedures On The Integumentary System On The Extremities Anterior Trunk And Perineum Not Otherwise Specified | 0370 | Anesthesia | $148.92 |
| 00142 | Anesthesia For Eye Surgery, Anesthesia Services For Surgery Involving The Eye. Examples Include Eyelid Reconstruction Cornea Transplant Or Removal Of The Iris. | 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 | Anesthe For Procs On Cervcal Spine & Cord; Not Otherwise Sp, Anesthesia For Procedures On Cervical Spine And Cord; Not Otherwise Sp | 0370 | Anesthesia | $414.31 |
| 00790 | Anesthesia Abdomen Procedure, Anesthesia Services For A Procedure Involving Any Structure On The Interior Of The Abdomen. This Includes Scope-Assisted (Laparoscope) Procedures. | 0370 | Anesthesia | $271.22 |
| 00800 | Anesthe For Procs On Lower Anterio Abdomi Wall; Not Otherw, Anesthesia For Procedures On Lower Anterior Abdominal Wall; Not Otherw | 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 N, Anesthesia For Procedures On Nerves Muscles Tendons Fascia And Bursae Of Upper Arm And Elbow Not Otherwise Specified | 0370 | Anesthesia | $161.05 |
| 01380 | Anesthesia For Joint Procedure, Anesthesia Services For A Noninvasive Procedure Involving A Joint Such As A Scope-Assisted Exam. Common Exam Sites Include Hip Knee Shoulder Wrist Ankle And Elbow. | 0370 | Anesthesia | $166.91 |
| 01480 | Anesthesia Leg Foot Surgery, Anesthesia Services For Surgery Involving The Bones Of The Leg Ankle Or Foot. Examples Of These Surgeries Include Reconstruction Amputation And Joint Replacement. | 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 | Neuraxl Lbr Anes Vag Dlvr, 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 | Anes/Analg Cs Dlvr Neuraxial, 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 | Njx Interlaminar Lmbr Sac, Injection S Of Diagnostic Or Therapeutic Substance S Eg Anesthetic Antispasmodic Opioid Steroid Other Solution Not Including Neurolytic Substances Including Needle Or Catheter Placement Interlaminar Epidural Or Subarachnoid Lumbar Or Sacral Caudal Without Imaging Guidance | 0370 | Anesthesia | $221.43 |
| 62321 | Njx Interlaminar Crv Thrc, Injection S Of Diagnostic Or Therapeutic Substance S Eg Anesthetic Antispasmodic Opioid Steroid Other Solution Not Including Neurolytic Substances Including Needle Or Catheter Placement Interlaminar Epidural Or Subarachnoid Cervical Or Thoracic With Imaging Guidance Ie Fluoroscopy Or Ct | 0370 | Anesthesia | $372.30 |
| 62323 | Njx Interlaminar Lmbr Sac, Injection S Of Diagnostic Or Therapeutic Substance S Eg Anesthetic Antispasmodic Opioid Steroid Other Solution Not Including Neurolytic Substances Including Needle Or Catheter Placement Interlaminar Epidural Or Subarachnoid Lumbar Or Sacral Caudal With Imaging Guidance Ie Fluoroscopy 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 (T, Transversus Abdominis Plane (Tap) Block (Abdominalplane Block Rectus Sheath Block) Unilateral By Injection(S) (Includes Imaging Guidance When Performed) | 0370 | Anesthesia | $175.22 |
| 64447 | Anesthetic Infusion For Nerve, An Infusion Of Anesthetic Into A Nerve To Relieve Pain. An Infusion Delivers A Fluid Or Medication Over A Period Of Several Hours. | 0370 | Anesthesia | $163.57 |
| 64445 | Injection Aa&/Strd Sciatic Nerve W/Img Gdn, Injection(S) Anesthetic Agent(S) And/Or Steroid; Sciatic Nerve Including Imaging Guidance When Performed | 0370 | Anesthesia | $209.86 |
| 64415 | Injection Aa&/Strd Brachial Plexus W/Img Gdn, Injection(S) Anesthetic Agent(S) And/Or Steroid; Brachial Plexus Including Imaging Guidance When Performed | 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 Anesthesia Management, Daily Monitoring Of Continuous Medication For Pain Management In An Inpatient Setting. Usually The Medication Is Given By A Spinal Block (Epidural). | 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 | Mod Sed Same Phys Qhp Ea, 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 Patient S Level Of Consciousness And Physiological Status Each Additional 15 Minutes Intraservice Time List Separately 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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