CPT 00145: Anesthesia for Vitreoretinal Surgery
Commercial payers pay $81 on average nationally for this procedure.
CPT code 00145 describes anesthesia services provided for a patient undergoing vitreoretinal surgery, typically representing intraoperative anesthesia care delivered in an operating room or ambulatory surgical center during complex posterior segment ophthalmic procedures such as vitrectomy and retinal repair.
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National Reimbursement Benchmarks
Across national commercial payers the average commercial benchmark (BUCA) centers at $81.1, offering a useful mid-market reference for CPT 00145. Blue Cross Blue Shield ($69.7 mean) and UnitedHealth Group ($67.3 mean) sit below the BUCA average, while Aetna ($122 mean) and Cigna ($87.7 mean) are above it; Aetna’s distribution also reaches the highest observed maximum of $321.7 and a substantial spread between upper and lower percentiles.
Examining interquartile dispersion (P75 minus P25) highlights differences in rate consistency: Blue Cross Blue Shield has a relatively tight IQR of $38.8, and UnitedHealth Group’s IQR is $26.8, indicating narrower variability. Aetna shows the widest IQR at $75.1, with Cigna next at $37.5 and BUCA’s IQR at $42.5, signaling more variability among higher-paying contracts for Aetna and more concentration for UnitedHealth Group and Blue Cross Blue Shield.