CPT 00794: Anesthesia for Pancreatectomy Procedures
Commercial payers pay $83 on average nationally for this procedure.
CPT code 00794 describes anesthesia services provided for partial or total pancreatectomy procedures, including complex resections such as the Whipple procedure; the service typically comprises general anesthesia management and may include care for laparoscopic or open surgical approaches, with the typical site of service being an inpatient or hospital operating room for major abdominal surgery.
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National Reimbursement Benchmarks
Commercial national rates for CPT 00794 center around BUCA’s average of $83.40 as the proxy for the broader commercial marketplace, with payer-specific medians and means varying notably. Blue Cross Blue Shield’s median sits near $59.60 while Aetna’s median is $69.80 and Cigna’s median is $85.70; UnitedHealth Group’s median is $64.00. Cigna and Aetna report higher mean rates ($93.70 and $136.30 respectively) compared with Blue Cross Blue Shield and UnitedHealth Group (means of $67.80 and $67.30), signaling a skew toward higher outliers for some payers.
Dispersion measured as the interquartile range (P75–P25) is widest for Aetna at $119.80 ($164.30–$45.00), followed by Cigna at $53.10 ($120.00–$67.90) and BUCA at $52.40 ($104.30–$51.60). Blue Cross Blue Shield and UnitedHealth Group are tighter with IQRs of $36.60 ($86.80–$48.20) and $27.80 ($80.80–$52.00) respectively, indicating more consistent middle-range payments from those payers.