CPT 01130: Anesthesia for Body Cast Application or Revision
Commercial payers pay $82 on average nationally for this procedure.
CPT code 01130 describes anesthesia services provided for body cast application or revision, where the provider administers anesthesia while the patient undergoes enclosure of the body in a plaster shell or a repeat procedure to revise that cast; this service is typically general or regional anesthesia provided in an operating room or procedure suite for orthopedic immobilization procedures.
Customize your policy alerts
Sign up for cpt 01130 policy alerts
Get alerted when payer policies referencing 01130 are released or updated.
Monitor payer policy activity
National Reimbursement Benchmarks
Across commercial payers for CPT 01130, BUCA’s average commercial benchmark sits at $81.8 and provides a useful mid-market reference. Blue Cross Blue Shield displays higher central tendency with a median of $78.2 and a mean of $82.8, while Cigna posts the highest mean at $105 and a median of $90.8. Aetna and UnitedHealth Group cluster lower on central measures, with medians of $48 and $65 respectively, and mean rates of $68.9 and $68.4. Maxima vary notably: Cigna and Blue Cross Blue Shield reach $176.8 and $222 at the top end, while UnitedHealth Group caps near $122.7 and Aetna near $207.2.
Examining dispersion via the interquartile range (P75 minus P25) highlights where rates are tightest or widest. UnitedHealth Group has the tightest IQR at $31.80 ($81.30 - $52.50), indicating more concentrated commercial pricing. Blue Cross Blue Shield and BUCA show moderate dispersion with IQRs of $46.10 ($105.30 - $59.20) and $47.50 ($104.90 - $57.50) respectively. Aetna’s IQR is $49.30 ($93.30 - $42.00) and Cigna has the widest spread at $61.70 ($139.00 - $73.10), signaling the greatest variability in negotiated commercial rates among the listed payers.