CPT 00537: Anesthesia for Cardiac Electrophysiology Procedures
Commercial payers pay $83 on average nationally for this procedure.
CPT code 00537 describes anesthesia services for cardiac electrophysiologic procedures, covering management of anesthesia during mapping, pacing, recording, arrhythmia induction, lead testing, and radiofrequency ablation; service type: anesthesia for invasive cardiac electrophysiology procedures; typical site of service: hospital operating room or cardiac catheterization/electrophysiology lab.
For related coverage guidance, see recent payer policy updates: Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders.
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National Reimbursement Benchmarks
Commercial reimbursement for CPT 00537 sits around the BUCA average of $82.90, with notable variation across major carriers. Blue Cross Blue Shield centers lower around its mean of $64.80, while Aetna skews higher with a mean of $142.30 and a pronounced upper tail to a $383.60 max. Cigna’s mean of $93.10 and UnitedHealth Group’s mean of $67.50 both fall near BUCA’s level, but Aetna is the clear outlier on the high end.
Assessing dispersion via interquartile ranges (P75–P25) highlights concentration differences: Aetna’s IQR is $105.10 ($193.40–$83.09), Cigna’s IQR is $52.20 ($120.00–$67.80), BUCA’s IQR is $45.60 ($107.70–$57.10), Blue Cross Blue Shield’s IQR is $39.20 ($83.80–$46.60), and UnitedHealth Group is tightest at $29.00 ($81.00–$52.00). Aetna is the widest, UnitedHealth Group the tightest.