CPT 01620: Anesthesia for Closed Shoulder Joint Procedures
Commercial payers pay $76 on average nationally for this procedure.
CPT code 01620 describes anesthesia services provided for closed procedures on the humeral head and neck, sternoclavicular, acromioclavicular, and shoulder joints; service type: surgical anesthesia for closed shoulder/joint procedures; typical site of service: operating room or procedure suite for closed shoulder joint interventions under general, regional, or monitored anesthesia care.
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National Reimbursement Benchmarks
For CPT 01620 the BUCA average commercial rate sits at $76.20, providing a central market anchor. Among individual payers, Cigna posts the highest mean at $91.20 while Blue Cross Blue Shield averages $77.00 and UnitedHealth Group and Aetna are clustered near the mid-$60s with means of $67.80 and $67.20 respectively. This spread places BUCA roughly in the middle of the payer means, indicating a moderately concentrated commercial market around the mid-$70s to low-$80s.
Dispersion measured as the interquartile range (P75 minus P25) highlights variability: Blue Cross Blue Shield has the widest IQR at $49.70 (P75 $102.40 minus P25 $52.30), followed by Cigna at $40.90 (P75 $107.60 minus P25 $66.70). Aetna’s IQR is $43.40 (P75 $87.40 minus P25 $43.00). UnitedHealth Group shows the tightest spread at $30.90 (P75 $81.10 minus P25 $52.00), suggesting the most consistent commercial reimbursement band among these payers.