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Built on federal price-transparency data · Anesthesiology

Your ASA conversion factor, benchmarked against the groups across town.

Anesthesia reimbursement lives and dies on the conversion factor — and the payer knows every group's number but yours. EarnestMD turns insurers' own published rates into a live workbench so you can see exactly where your CF lands against comparable groups contracted with the same payer.

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4 national payers (UHC · BCBS · Aetna · Cigna)Billions of negotiated rates analyzedEvery site of service (office · HOPD · ASC)Minutes to a live workbench

The problem

Your contract is a single number negotiated years ago and rolled over since. The payer is sitting on the conversion factors of every anesthesia group in your market — you're working from one data point: your own. When the units are fixed by the ASA system, the CF is the negotiation. Walking in without knowing the market CF means negotiating the most important variable blind.

  • ✓One CF, no context. You can't tell whether yours is at, above, or well below the going rate for groups your size on the same plan.
  • ✓Stale by default. Most anesthesia contracts haven't been re-opened in years while the market moved.
  • ✓“We'd like a raise” loses. “Comparable groups are paid a higher conversion factor than you are by this plan” is a different conversation.

What you get

  • ✓CF benchmarking by payer. Your conversion factor set against comparable anesthesia groups contracted with UHC, BCBS, Aetna, and Cigna — the exact gap, quantified.
  • ✓Dollar impact by volume. Your annual unit volume × the CF gap = what closing it is worth per year, per payer — quantified in dollars in the workbench.
  • ✓Site-of-service awareness. Hospital, ASC, and office-based anesthesia economics separated, not blended.
  • ✓The document you hand the payer. A sanitized market-position proposal that makes your case in their language — your volumes and strategy stay in the internal report.

Procedures we benchmark

  • CPT 00790
  • CPT 01402
  • CPT 01967
  • CPT 00840
  • CPT 01630

In practice

A multi-site anesthesia group benchmarked its ASA conversion factor against regional peers on the same insurer, surfaced a material CF gap on its highest-volume codes, and walked in with both an internal strategy model and a payer-ready proposal.

How it works

  1. 1. Tell us your practice — NPIs (or group name) + the payers and codes that matter. No claims data, no contracts.
  2. 2. We resolve your rates — match your providers and comparable peers to payers’ federally-required published rates.
  3. 3. Open the workbench — your rates, benchmarked by payer, code, and site of service; every gap in dollars.
  4. 4. Build your ask — rank by recoverable dollars; print a board-ready report and a sanitized payer-facing proposal.

Anesthesiology FAQ

Do you model the conversion factor specifically?
Yes — anesthesia is CF-driven, so the workbench is built around CF comparison by payer and site of service, not a generic fee-schedule view.
What about base + time units?
Anesthesia payment is (base + time + modifier units) × a conversion factor. The unit values are standardized by the ASA Relative Value Guide, so they don't vary between groups — the conversion factor is the variable that actually moves your reimbursement, and that's what we benchmark, by payer and site of service.
Do you need our claims data?
No — just your NPIs (or group name) and the payers that matter.

Find out what you’re leaving on the table.

Open the workbench and see your anesthesiology payer gaps in minutes — the live demo needs no account.

Open the live demoGet the Rate Gap Checklist

Other specialties

  • Interventional Spine
  • Ophthalmology
  • Hospital Medicine
  • Urgent Care
  • Primary Care
  • Pediatrics

Rate figures are derived from payers’ public price-transparency filings published under the Transparency in Coverage rule. EarnestMD is independent and not affiliated with any insurer.

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Payer rate intelligence for provider contract negotiations. Built from public federal price-transparency filings.

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  • Pediatrics

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Rate figures are derived from payers’ public price-transparency filings published under the Transparency in Coverage rule. EarnestMD is independent and not affiliated with any insurer.