CPT 01960: Anesthesia for Vaginal Delivery
Commercial payers pay $85 on average nationally for this procedure.
CPT code 01960 describes anesthesia services provided for an obstetric patient who delivers vaginally, representing intraoperative obstetric anesthesia care for labor and vaginal delivery; the service type is obstetric anesthesia and the typical site of service is a labor and delivery unit or obstetric operating room where anesthetic management is provided during vaginal childbirth.
For related coverage guidance, see recent payer policy updates: Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders.
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National Reimbursement Benchmarks
Commercial rates for CPT 01960 cluster around BUCA’s average commercial rate of $85.50, with notable variation among major carriers. Cigna shows the highest mean at $131.40 and the largest upper-tail exposure (max $414.30), while Blue Cross Blue Shield (BCBS) and Aetna sit in mid-range means of $81.40 and $70.10 respectively. UnitedHealth Group records a mean of $67.20 and a relatively low max of $122.70. These values frame the commercial marketplace with BUCA representing a central benchmark rather than an outlier.
Dispersion measured by the interquartile range (P75 minus P25) highlights concentration differences: Blue Cross Blue Shield’s IQR is $61.55 (P75 $107.10 minus P25 $45.50), Cigna’s IQR is $83.70 (P75 $159.20 minus P25 $75.20), Aetna’s IQR is $48.00 (P75 $90.00 minus P25 $42.00), UnitedHealth Group’s IQR is $28.40 (P75 $80.40 minus P25 $52.00), and BUCA’s IQR is $59.60 (P75 $108.50 minus P25 $50.90). Cigna is the widest and UnitedHealth Group the tightest in interquartile dispersion.