CPT 00406: Anesthesia for Integumentary and Breast Procedures
Commercial payers pay $68 on average nationally for this procedure.
CPT code 00406 describes anesthesia services provided for procedures on the integumentary system of the extremities, anterior trunk, and perineum, including radical or modified radical breast procedures with internal mammary node dissection; service type: surgical anesthesia for integumentary and breast procedures; typical site of service: hospital operating room or ambulatory surgical center for surgical procedures involving the skin, soft tissue of extremities, anterior trunk, perineum, and breast with node dissection.
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National Reimbursement Benchmarks
Across national commercial payers, BUCA’s mean commercial rate of $68.20 sits near the middle of the distribution and serves as a practical reference for average commercial reimbursement for CPT 00406. Cigna and Blue Cross Blue Shield show higher central tendencies—Cigna’s median is $85.70 and BCBS’s median is $58.50—while Aetna and UnitedHealth Group have lower medians at $48.00 and $64.00 respectively. Cigna posts the highest mean at $92.60, and BUCA’s mean of $68.20 aligns more closely with UnitedHealth Group ($67.30) and BCBS ($64.30).
Examining dispersion using the interquartile range (P75 minus P25) highlights variability across payers: Cigna’s IQR is $52.20 ($119.90−$67.70), indicating the widest mid‑range spread, while UnitedHealth Group’s IQR is $27.60 ($80.80−$52.00), the tightest among listed payers. Blue Cross Blue Shield’s IQR is $30.80, Aetna’s is $28.00, and BUCA’s IQR is $37.40, placing BUCA in the middle of the spread spectrum relative to other commercial payers.