CPT 01712: Anesthesia for Open Tenotomy, Elbow to Shoulder
Commercial payers pay $73 on average nationally for this procedure.
CPT code 01712 describes anesthesia services provided for an open tenotomy procedure in the region from the elbow to the shoulder; service type: anesthesia for open surgical tendon procedure; typical site of service: operating room or other surgical suite involving the upper extremity (elbow through shoulder).
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National Reimbursement Benchmarks
Commercial rates for CPT 01712 cluster around BUCA’s average commercial rate of $73.30, with notable variation across major carriers. Cigna and Aetna sit above BUCA on mean rates ($96.50 and $80.70 respectively), while Blue Cross Blue Shield and UnitedHealth Group have lower means ($65.10 and $67.40). Overall medians trend similarly: Cigna’s median of $86 exceeds BUCA’s median of $64.70, while Blue Cross Blue Shield ($56.00) and UnitedHealth Group ($63.80) remain below. These comparisons highlight that BUCA’s average represents a mid-market position among the insurers listed.
Dispersion measured by the interquartile range (P75–P25) shows Blue Cross Blue Shield and UnitedHealth Group are the tightest markets with ranges of $36.60 and $28.90 respectively, indicating more concentrated pricing. Aetna and Cigna exhibit wider dispersion—Aetna’s IQR is $57.70 and Cigna’s is $58.40—signaling greater variability in contracted rates. BUCA’s IQR is $42.10, placing it between the tightest and widest payers.