Specialty guide · Anesthesiology

RVU tracking,
built for anesthesiologists.

Anesthesia uses base units + time, not standard wRVUs. RVU Tracker handles both — base unit values per case, time conversion, and the procedural codes that round out an anesthesia day.

~12,000
Median wRVUs / yr
$496K
Median compensation
2.00
Top procedure wRVU (93503)
2026
CMS data, pre-loaded

Anesthesiology by the numbers

Compensation and productivity benchmarks pulled from public physician surveys and the 2026 Medicare Physician Fee Schedule.

$496K
Median annual compensation
Doximity 2024 Physician Compensation Report
12,000
Median annual wRVUs
MGMA-aligned 2024 estimates
~$22
Typical wRVU conversion factor
Common anesthesiology compensation models

Top Anesthesiology CPT codes & 2026 wRVUs

The codes that drive the bulk of anesthesiology billing, with current Work RVU values from the 2026 Medicare Physician Fee Schedule. Use these as a baseline — locality (GPCI) and modifiers adjust the final payment.

Code Description wRVU Type
36620 Arterial line placement 1.00 Procedure
93503 Pulmonary artery (Swan-Ganz) catheter 2.00 Procedure
36556 Central venous catheter placement, age 5+ 1.75 Procedure
64483 Lumbar / sacral transforaminal epidural injection 1.90 Procedure
64493 Lumbar / sacral facet joint injection, level 1 1.52 Procedure
62323 Interlaminar epidural / subarachnoid injection, lumbar 1.80 Procedure
99213 Office visit, est. patient, low (20 min) 1.30 E&M
99214 Office visit, est. patient, moderate (30 min) 1.92 E&M

Source: 2026 Medicare Physician Fee Schedule (CMS). Values reflect the national, unadjusted Work RVU.

Annual wRVU benchmarks

Where anesthesiology productivity falls across the percentile distribution. Most RVU-based contracts target the median (50th percentile); high-volume practices push into the 75th-90th range.

10th
6,600
25th
9,000
50th
12,000
75th
15,800
90th
20,200

MGMA-aligned 2024 estimates. Verify with your group's data source for contract negotiations.

Compensation by career stage

Typical total compensation ranges across a anesthesiology career. Numbers blend salary, RVU productivity, and bonus components reported in physician surveys.

Early career
$355K–$435K

First 1-3 years out of training. Base-heavy contracts; productivity bonuses begin to ramp.

Mid-career
$470K–$570K

Years 4-10. RVU-based comp dominates as case volume settles into a steady pattern.

Senior / partner
$595K–$770K+

10+ years, partnership track, ASC ownership, or high-volume practice settings.

Ranges synthesized from Doximity 2024 and AMGA / MGMA-aligned compensation reports. Actual offers vary by region, practice setting, and case mix.

Built for anesthesiologists

Most RVU tools were built for one type of day. RVU Tracker handles the mix of clinic, procedures, and inpatient work that actually shows up on a anesthesiology schedule.

Base units + time

Track anesthesia by base units plus time-based units, with modifier-aware percentage adjustments for medical direction (QK, QY).

Mixed case mix

Anesthesia, pain procedures, and clinic E&M tracked alongside each other so total productivity reflects every revenue stream.

Productivity per OR session

Tag each case to an OR session and see units per session — useful for evaluating block utilization.

2026 CMS data pre-loaded

Every anesthesia base value, pain CPT, and procedural code ships with current values. Year-over-year updates roll out automatically.

Bonus pace tracking

Set a units or wRVU threshold. The tracker shows monthly pace and projects year-end totals across mixed work.

Compensation modeling

Plug in your unit conversion factor and see real-time earnings. Compare offers across groups during contract review.

Coding pearls for anesthesiology

A few high-leverage details that quietly cost RVUs (and revenue) when missed.

Anesthesia base units ≠ wRVUs

Anesthesia codes (00100-01999) use base units + time-based units, not Work RVUs. Most groups convert (base + time) × conversion factor. RVU Tracker handles both wRVU-based codes (procedures, clinic) and base-unit anesthesia tracking.

Medical direction billing

Modifiers QK (medical direction of 2-4 concurrent procedures by an MD) and QY (1:1 supervision of CRNA) change the percentage paid. Track the modifier per case so end-of-month reporting reflects actual billable units.

Pain procedures separately billable

Anesthesia for a procedure (e.g., 64483 for TFESI) and the procedure itself are billed separately when one anesthesiologist performs both — use modifier -47 (anesthesia by surgeon) or stand-alone codes per group convention.

Pre-op evaluation

Pre-anesthesia evaluations are bundled into the anesthesia base unit value when performed same-day. A separately scheduled pre-op clinic visit (99213-99215) is billable if it occurs on a different date.

Frequently asked questions

How are anesthesiologists compensated — wRVUs or base units?
Most anesthesia groups use base units + time units (one unit per 15 min) multiplied by a conversion factor. Some hospital-employed anesthesiologists use a wRVU-based model that converts anesthesia work to wRVU equivalents.
What is the average anesthesiologist salary?
Doximity's 2024 Physician Compensation Report places median anesthesiology compensation at approximately $496,000. Pain medicine subspecialty and partnership tracks add meaningful upside.
How do I track wRVUs for pain procedures?
Pain procedures (64483, 64493, 62323, etc.) carry standard CPT wRVUs. RVU Tracker captures these alongside anesthesia base units so total productivity reflects both work types.
Does the tracker handle medical direction modifiers?
Yes. QK, QY, AA, AD modifiers are applied per case so the billable percentage matches actual practice (50% for QK direction of multiple, 100% for AA personally performed).
Can I track productivity per OR session?
Yes. Tag each anesthesia case to an OR session date and the tracker reports total units per session, useful for evaluating block scheduling and case mix.
Does RVU Tracker include 2026 anesthesia base unit values?
Yes. ASA-published base unit values for the 00100-01999 series are pre-loaded, alongside CMS Work RVU values for procedural and E&M codes.

Start tracking your Anesthesiology wRVUs today.

2026 CMS data pre-loaded for every code. Designed for the cadence of a real anesthesiology day.