What Anesthesia teams should benchmark
Anesthesia IDR outcomes are shaped by code mix. The same payer can look fair in one lane and misaligned in another. Start with the codes that dominate your disputed claims, then compare state and payer behavior.
The purpose of this page is to help a specialty leader or RCM team decide where the federal IDR data supports a closer claim-level review.
Top Anesthesia service codes
| Code | Service | Disputes | Provider win rate | Median award | Median award dollars |
|---|---|---|---|---|---|
| 00812 | Anesthesia for screening colonoscopy | 28,711 | 83% | 9.4x | $1,620 |
| 00731 | Anesthesia for upper GI endoscopic procedures | 14,893 | 83% | 6.5x | $1,604 |
| 00813 | Anesthesia for combined upper and lower GI endoscopy | 10,861 | 82.7% | 6.9x | $1,981 |
| 00811 | Anesthesia for lower intestinal endoscopy (e.g., colonoscopy) | 10,555 | 80.3% | 6.7x | $1,512 |
| 00840 | Anesthesia for lower-abdomen intraperitoneal procedures (e.g., laparoscopy) | 10,200 | 83.8% | 3.5x | $2,145 |
| 01967 | Neuraxial labor anesthesia (epidural for planned vaginal delivery) | 7,837 | 81.3% | 2.9x | $4,193 |
| 01400 | Anesthesia for open or arthroscopic knee joint procedures | 7,497 | 82.1% | 6.5x | $2,212 |
| 00790 | Anesthesia for upper-abdomen intraperitoneal procedures | 7,118 | 84.5% | 3.5x | $2,389 |
Top states for Anesthesia disputes
Top payers in Anesthesia
| Payer | Disputes | Provider win rate | Median award |
|---|---|---|---|
| UnitedHealthcare | 56,157 | 81.1% | 4.5x |
| Cigna / MultiPlan | 40,365 | 80.5% | 3.2x |
| Aetna | 28,143 | 88.6% | 8.0x |
| Cigna (cigna.com) | 26,237 | 83.3% | 2.8x |
| BLUE CROSS AND BLUE SHIELD OF ARIZONA | 16,135 | 79.8% | 34.3x |
| UMR | 15,644 | 82.8% | 4.5x |
| Anthem Blue Cross | 14,089 | 85.9% | 3.2x |
| BCBSTX | 12,521 | 95% | 8.8x |
Open the Anesthesia dashboard
Filter the live explorer by state, payer, and year to compare Anesthesia outcomes against your own claim mix.
FAQ
How many Anesthesia federal IDR disputes are in the dataset?
This benchmark shows 242,469 Anesthesia disputes.
What is the Anesthesia provider win rate?
The non-default provider win rate is 82.8%.
What should Anesthesia groups compare first?
Start with service-code mix, then narrow by payer and state. That sequence usually gives a more useful answer than a national specialty average.
Related benchmarks
Sources and method
- CMS: Federal IDR reports and public use files
- CMS: About Independent Dispute Resolution
- CMS: Federal IDR timeline for claims
Data source: CMS Federal IDR public use files, coverage through 2025Q4; data build 2026-09-21. Counts are CMS dispute counts unless a table says line items. Win rates labeled non-default exclude payer no-show defaults. Award multiples are medians versus QPA. Dollar figures, where shown, are anchored estimates from CMS QPA-and-offer fields, not payment records. This page is informational, not legal or reimbursement advice.