CPT 01402: Anesthesia for Total Knee Arthroplasty
Commercial payers pay $82 on average nationally for this procedure.
CPT code 01402 describes anesthesia services provided for a patient undergoing an open or arthroscopic total knee arthroplasty; service type is anesthesia for orthopedic surgery and the typical site of service is an operating room or ambulatory surgery center for a primary or revision knee replacement procedure.
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National Reimbursement Benchmarks
For CPT 01402, the average commercial benchmark (BUCA) sits at $82.30, providing a mid-market reference point among national commercial payers. Blue Cross Blue Shield displays the lowest central tendency with a median of $54.30 and a mean of $63.60, while Aetna and Cigna sit notably higher with medians of $119.00 and $85.80 and means of $141.80 and $94.20, respectively. UnitedHealth Group’s median of $63.50 and mean of $67.10 fall nearer to Blue Cross Blue Shield, indicating two clusters: one around the mid-$50s to mid-$60s and another around the $85–$140 band.
Comparing dispersion using the interquartile range (P75–P25): Aetna shows the widest spread at $129.60 (P75 $193.20 minus P25 $63.60), indicating greater variability in commercially negotiated rates; Cigna’s IQR is $54.20 (P75 $121.10 minus P25 $67.90), UnitedHealth Group’s is $29.20 (P75 $80.30 minus P25 $51.10), and Blue Cross Blue Shield’s is $39.30 (P75 $78.09 minus P25 $43.80). BUCA’s quartiles (P25 $56.10, P50 $71.90, P75 $104.80) place it between the tighter UnitedHealth Group and broader Aetna distribution.