CPT 01202: Anesthesia for Hip Arthroscopy
Commercial payers pay $92 on average nationally for this procedure.
CPT code 01202 describes anesthesia services provided for a patient undergoing an arthroscopic procedure of the hip joint; this represents intraoperative anesthesia care (general or regional as clinically indicated) delivered in an operating room or ambulatory surgical center for a minimally invasive hip arthroscopy.
For related coverage guidance, see recent payer policy updates: Dental Anesthesia Services, Anesthesia Services for Interventional Pain Management Procedures in an Adult, General Anesthesia and Conscious Sedation Services.
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National Reimbursement Benchmarks
National commercial rates for CPT 01202 center on BUCA’s average commercial rate of $91.70, with individual commercial payers displaying distinct central tendencies and upper tails. Aetna and Cigna show higher mean levels at $163.10 and $91.40 respectively, while Blue Cross Blue Shield and UnitedHealth Group sit lower with means of $76.00 and $67.90. These differences indicate varied contracting positions across national carriers, with BUCA’s mean roughly mid-market compared with Aetna’s pronounced upside.
Dispersion measured by the interquartile range (P75 minus P25) highlights where rates cluster: Aetna’s IQR is $179.30 (P75 $229.30 minus P25 $50.00), the widest, reflecting substantial variability; Cigna’s IQR is $40.50, Blue Cross Blue Shield’s IQR is $39.20, BUCA’s IQR is $60.10, and UnitedHealth Group’s IQR is $29.00, the tightest spread. This indicates UnitedHealth Group rates are most concentrated while Aetna exhibits the greatest spread between lower and upper quartiles.