CPT 01710: Anesthesia for Upper Arm and Elbow Procedures
Commercial payers pay $97 on average nationally for this procedure.
CPT code 01710 describes anesthesia services for procedures on the nerves, muscles, tendons, fascia, and bursae of the upper arm and elbow; service type: regional or local anesthesia for upper arm/elbow procedures; typical site of service: operating room, procedure suite, or ambulatory surgical center where upper arm and elbow surgical or procedural interventions are performed.
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
Commercial reimbursement for CPT 01710 centers around a BUCA average commercial rate of $96.80, with individual payer medians and means varying notably. Blue Cross Blue Shield median is $78.50 with a mean of $84.00; Aetna shows a higher mean of $155.60 and median $131.00; Cigna’s median is $90.80 with mean $105.00; UnitedHealth Group is lower at median $64.60 and mean $68.30. These levels indicate a split between higher-paying national payers (Aetna and Cigna) and more moderate payers (Blue Cross Blue Shield and UnitedHealth Group), with BUCA sitting near the mid-market average.
Rate dispersion (P75 minus P25) highlights where pricing is most and least variable: Aetna’s interquartile spread is $151.20 (P75 $217.90 minus P25 $66.80), Cigna’s spread is $61.00 (P75 $139.00 minus P25 $73.10), Blue Cross Blue Shield’s spread is $40.70, BUCA’s spread is $60.00 (P75 $126.10 minus P25 $62.10), and UnitedHealth Group’s spread is $31.40. Aetna shows the widest dispersion, indicating substantial variability in negotiated rates, while UnitedHealth Group is the tightest.