Anesthesia for Neck Spine Surgery, Sitting Position

Nationwide rates for HCPCS 00604

Anesthesia care for an operation on the neck part of the spine and spinal cord carried out with the patient sitting upright rather than lying down. That position gives the surgeon a clearer, drier view, but it makes blood pressure harder to hold steady and raises the risk of air being drawn into a vein, so the anesthesia team uses extra monitoring throughout. The surgeon's work is charged separately.

Rates data updated July 2026.

How much rates vary

Facilitymedian $52 · 10th to 90th $31 to $52Professionalmedian $347 · 10th to 90th $347 to $457

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Cigna Setting Facility Modifier QK · Directing 2–4 cases Typical Low $30.90 Median $30.90 Typical High $30.90	Facility	QK · Directing 2–4 cases	$30.90	$30.90	$30.90
Cigna Setting Facility Modifier QX · CRNA, directed Typical Low $30.90 Median $30.90 Typical High $30.90	Facility	QX · CRNA, directed	$30.90	$30.90	$30.90

Anesthesia for Neck Spine Surgery, Sitting Position

How much rates vary

Rates by insurance carrier

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