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Anesthesia for Open Upper Arm and Elbow Surgery

Wisconsin rates for HCPCS 01742

Covers the anesthesia care given during an operation performed through an open incision on the upper arm bone and the elbow. An anesthesia clinician keeps the patient unconscious or pain-free, watches breathing, heart rhythm and blood pressure throughout, and manages waking up afterwards. The surgeon's work on the arm is a separate service and is billed separately.

Rates data updated July 2026.

How much does Anesthesia for Open Upper Arm and Elbow Surgery cost?

$389

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $74.13 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 10 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$389$50.12 to $537
FacilityA hospital or hospital-owned outpatient department$74.13$47.86 to $417

How much rates vary

Facilitymedian $74 · 10th to 90th $48 to $661Professionalmedian $389 · 10th to 90th $40 to $676
$50$100$200$500$1Kfacility $74professional $389

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$416.87
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$47.86
Typical High
$457.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$363.08
Typical High
$575.44
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$107.15
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$57.54
Typical High
$95.50
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$67.61
Typical High
$1,348.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$478.63
Network Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$575.44
Typical High
$691.83
Quartz
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$389.05
Typical High
$616.60
Quartz
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Quartz
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$630.96
Typical High
$1,445.44
Security Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Security Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$831.76
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$223.87
Typical High
$602.56

Where Wisconsin sits

The same service costs 17.4 times more in New York than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 2nd of 51

$389

NY $525DE $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.