CPT 00952: Anesthesia for Hysteroscopy or Hysterosalpingography
Commercial payers pay $89 on average nationally for this procedure.
CPT code 00952 describes anesthesia services provided for a patient undergoing hysteroscopy, hysterosalpingography, or both; this covers perioperative anesthetic management including induction and maintenance of anesthesia during these minimally invasive gynecologic imaging or operative procedures. The service type is anesthesia for gynecologic procedures and the typical site of service is an outpatient surgical suite, ambulatory surgery center, or hospital procedure room where hysteroscopy or hysterosalpingography is performed.
Customize your policy alerts
Sign up for cpt 00952 policy alerts
Get alerted when payer policies referencing 00952 are released or updated.
Monitor payer policy activity
National Reimbursement Benchmarks
National commercial reimbursement for CPT 00952 centers around BUCA’s average commercial rate of $89.40, which serves as a mid-market reference point. Blue Cross Blue Shield’s mean of $76.60 and UnitedHealth Group’s mean of $67.90 sit below BUCA, while Aetna ($139.10) and Cigna ($99.70) average above it. Maximums and minimums vary by payer, with Aetna showing the highest ceiling at $336.30 and UnitedHealth Group the lowest ceiling among those reporting at $122.70.
Rate dispersion (P75 minus P25) highlights variability across payers: Aetna’s interquartile spread is $92.40 ($180.20 − $86.60), indicating the widest mid-market variability, while UnitedHealth Group is the tightest with a spread of $29.09 ($81.10 − $52.00). Blue Cross Blue Shield has a moderate spread of $37.00 ($97.40 − $53.70), and Cigna’s spread is $61.80 ($131.80 − $70.00). BUCA’s interquartile range is $52.60 ($114.20 − $61.60).