How much does Medicare pay for CPT 01830?

Medicare allowed an average of $113.07 per service and paid $88.61 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1337.77, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 01830?

Anesthesia for other procedure on forearm, wrist, or hand bones. It was billed 21,336 times to 21,014 Medicare beneficiaries by 1,164 providers in 2024.

Does 01830 pay differently in an office than a hospital?

Yes. The allowed amount averaged $109.68 in an office setting and $113.14 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 01830 most?

Anesthesiology, with 14,358 services from 751 clinicians. Next are Certified Registered Nurse Anesthetist (CRNA), Anesthesiology Assistant, Pain Management.

CPT 01830

Anesthesia for other procedure on forearm, wrist, or hand bones

$113.07Medicare-allowed amount per service, averaged across 21,336 services

Providers submitted

$1337.77

Asking price, not received

Medicare allowed

$113.07

The fee schedule figure

Medicare paid

$88.61

Balance is patient coinsurance

Providers submitted an average of $1337.77 for this code and Medicare allowed $113.07 — 11.8× 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 $88.61 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $109.68
Hospital / facility: $113.14

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 425 services were billed in an office setting and 20,911 in a facility.

Services: 21,336
Beneficiaries: 21,014
Providers billing it: 1,164
Total allowed: $2,412,462

What Medicare pays for CPT 01830

Across 21,336 services billed by 1,164 providers to 21,014 beneficiaries, Medicare allowed an average of $113.07 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 01830

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	14,358	14,141	$113.18	751
Certified Registered Nurse Anesthetist (CRNA)	6,602	6,498	$114.16	387
Anesthesiology Assistant	306	305	$88.38	21
Pain Management	41	41	$82.08	3
Interventional Pain Management	18	18	$139.03	1
Internal Medicine	11	11	$73.95	1

01830 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
Florida	1,622	$126.33	$95.76	85
Texas	1,434	$111.63	$88.93	76
Pennsylvania	1,322	$93.59	$73.89	70
Virginia	1,221	$91.29	$72.93	67
California	1,136	$166.50	$127.84	70
North Carolina	1,021	$88.74	$71.26	57
New York	949	$123.75	$89.59	50
South Carolina	858	$93.15	$73.52	43
Ohio	790	$97.91	$77.95	47
Tennessee	787	$99.25	$80.80	41
Massachusetts	669	$105.31	$80.34	41
Arkansas	598	$101.36	$85.36	21
Georgia	596	$101.74	$79.67	39
Arizona	572	$157.29	$125.97	26
Colorado	562	$116.09	$90.96	24
Maryland	534	$152.17	$114.51	22
Connecticut	513	$81.92	$62.36	28
Illinois	510	$113.63	$86.02	33
Michigan	484	$109.71	$83.73	28
Washington	457	$153.34	$118.60	29
New Jersey	452	$105.08	$78.63	24
Missouri	389	$94.53	$77.57	23
Alabama	342	$78.25	$63.30	20
Indiana	330	$134.00	$110.83	21
Louisiana	283	$123.18	$100.08	15
Kentucky	241	$113.56	$90.30	12
Mississippi	228	$90.55	$75.26	15
Delaware	205	$81.95	$62.84	7
Minnesota	196	$95.01	$77.71	13
Utah	179	$159.52	$124.16	11
South Dakota	154	$90.72	$75.07	11
New Mexico	150	$135.50	$103.62	7
Kansas	148	$95.88	$75.46	10
Oregon	148	$176.60	$138.43	9
Idaho	145	$155.75	$129.31	5
New Hampshire	128	$125.78	$100.26	8
North Dakota	117	$69.09	$57.20	5
Rhode Island	111	$61.36	$46.68	3
Oklahoma	108	$142.88	$115.24	7
District of Columbia	96	$95.50	$71.43	6
Wisconsin	87	$118.44	$96.97	6
Alaska	87	$183.11	$113.59	6
Nebraska	80	$123.72	$104.10	5
West Virginia	67	$84.20	$66.86	2
Iowa	54	$126.47	$101.26	4
Montana	51	$186.94	$136.89	4
Maine	48	$75.81	$61.48	2
Nevada	39	$144.00	$113.65	3
Hawaii	13	$137.86	$103.71	1
Wyoming	13	$240.95	$213.38	1
Vermont	12	$93.78	$77.18	1

Related codes

01810Anesthesia for procedure on nerves$83.60
01844Anesthesia for placement or revision of blood flow shunt$176.37

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.