CPT 00862: Anesthesia for Extraperitoneal Lower Abdominal and Renal Procedures
Commercial payers pay $91 on average nationally for this procedure.
CPT code 00862 describes anesthesia services provided for extraperitoneal procedures in the lower abdomen, including operations involving the urinary tract, renal procedures such as upper one-third ureter surgery, and donor nephrectomy; the service is an anesthesia service typically performed in an operating room or similar surgical suite for lower abdominal and renal surgeries.
Customize your policy alerts
Sign up for cpt 00862 policy alerts
Get alerted when payer policies referencing 00862 are released or updated.
Monitor payer policy activity
National Reimbursement Benchmarks
Commercial reimbursement for CPT 00862 clusters around BUCA’s average commercial benchmark of $91.30, with notable variation among national payers. Blue Cross Blue Shield shows a relatively tight interquartile spread (P75–P25 = $88.20 – $50.00 = $38.20), and UnitedHealth Group is similarly compressed (P75–P25 = $80.80 – $52.00 = $28.80), indicating more consistent commercial pricing. Cigna’s IQR (P75–P25 = $121.10 – $68.00 = $53.10) is wider, while Aetna displays the largest dispersion (P75–P25 = $246.90 – $85.10 = $161.80), reflecting substantial variability in negotiated commercial rates.
Across these payers, Aetna also has the highest observed maximum ($501.10) and the broadest overall spread, while UnitedHealth Group and Blue Cross Blue Shield present the tightest interquartile ranges, suggesting more predictable reimbursement levels around BUCA’s average. Cigna and BUCA sit between those extremes, with Cigna’s higher median ($85.80) near BUCA’s central tendency and BUCA representing a practical average commercial benchmark at $91.30.