How much does Medicare pay for CPT 01480?

Medicare allowed an average of $118.91 per service and paid $93.05 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1430.59, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 01480?

Anesthesia for other procedure on lower leg, ankle, and foot bones. It was billed 54,046 times to 52,964 Medicare beneficiaries by 3,348 providers in 2024.

Does 01480 pay differently in an office than a hospital?

Yes. The allowed amount averaged $110.90 in an office setting and $119.01 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 01480 most?

Anesthesiology, with 38,003 services from 2,332 clinicians. Next are Certified Registered Nurse Anesthetist (CRNA), Anesthesiology Assistant, Pain Management.

CPT 01480

Anesthesia for other procedure on lower leg, ankle, and foot bones

$118.91Medicare-allowed amount per service, averaged across 54,046 services

Providers submitted

$1430.59

Asking price, not received

Medicare allowed

$118.91

The fee schedule figure

Medicare paid

$93.05

Balance is patient coinsurance

Providers submitted an average of $1430.59 for this code and Medicare allowed $118.91 — 12.0× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $93.05 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $110.90
Hospital / facility: $119.01

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 635 services were billed in an office setting and 53,411 in a facility.

Services: 54,046
Beneficiaries: 52,964
Providers billing it: 3,348
Total allowed: $6,426,610

What Medicare pays for CPT 01480

Across 54,046 services billed by 3,348 providers to 52,964 beneficiaries, Medicare allowed an average of $118.91 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 01480

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	38,003	37,256	$114.99	2,332
Certified Registered Nurse Anesthetist (CRNA)	15,414	15,087	$129.58	972
Anesthesiology Assistant	464	458	$85.40	34
Pain Management	55	55	$105.60	3
Interventional Pain Management	43	42	$114.69	3
Critical Care (Intensivists)	41	40	$124.82	2
Internal Medicine	26	26	$157.53	2

01480 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Texas	4,337	$118.47	$93.41	260
Pennsylvania	3,403	$98.74	$77.09	205
California	3,213	$180.73	$139.52	205
Florida	3,186	$117.78	$90.32	192
Virginia	2,894	$98.39	$78.70	164
North Carolina	2,629	$95.07	$75.83	168
South Carolina	2,162	$91.32	$73.13	128
New York	2,113	$124.94	$92.19	138
Illinois	1,975	$127.93	$96.84	130
Massachusetts	1,729	$108.78	$82.67	111
Maryland	1,692	$153.60	$116.16	95
Ohio	1,644	$100.02	$79.14	96
Georgia	1,627	$111.83	$87.67	103
Tennessee	1,592	$99.93	$80.50	85
Michigan	1,550	$99.14	$77.06	102
Arizona	1,479	$161.29	$128.08	90
New Jersey	1,156	$124.85	$92.86	78
Missouri	1,073	$103.60	$82.82	68
Minnesota	1,069	$95.57	$76.54	76
Indiana	912	$125.99	$100.79	63
Kansas	891	$132.37	$108.67	53
Arkansas	832	$126.43	$105.80	37
Kentucky	831	$105.50	$83.74	50
Oklahoma	824	$130.55	$103.68	47
Washington	716	$161.44	$128.81	46
Alabama	689	$91.63	$74.95	45
Colorado	676	$131.41	$101.60	46
South Dakota	641	$95.65	$77.73	43
Louisiana	564	$115.00	$91.21	34
Mississippi	557	$111.79	$92.75	36
Wisconsin	541	$105.62	$85.77	38
Connecticut	505	$113.43	$86.29	35
Iowa	491	$136.33	$107.29	35
Delaware	361	$106.51	$84.34	22
District of Columbia	351	$123.12	$91.72	23
Oregon	316	$159.58	$125.72	20
North Dakota	290	$105.50	$83.10	19
Utah	267	$150.92	$122.03	14
Idaho	253	$150.35	$118.85	12
West Virginia	252	$94.31	$73.85	16
New Hampshire	229	$113.38	$89.82	16
Nebraska	217	$121.23	$101.33	13
Nevada	215	$136.48	$107.42	15
New Mexico	205	$157.04	$121.88	14
Rhode Island	175	$100.73	$78.66	13
Montana	171	$178.80	$135.17	13
Vermont	157	$112.44	$90.54	12
Maine	157	$110.86	$86.32	11
Wyoming	138	$158.85	$125.31	7
Alaska	59	$159.99	$88.67	4
Puerto Rico	25	$89.56	$71.08	1
XX	15	$193.54	$150.21	1

Related codes

01402Anesthesia for procedure for total knee joint replacement$215.88
01400Anesthesia for other procedure or exam of knee joint$116.38
01440Anesthesia for other procedure on artery of knee$269.71

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.