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Anesthesia for Manipulation of the Spine

Kentucky rates for HCPCS 00640

Anesthesia care for treatment of the neck or back carried out without any cutting, in which the spine is moved, stretched or manipulated into position while the patient is fully relaxed under anesthetic. Relaxing the muscles completely is what makes the manipulation possible, and the anesthesia team monitors breathing and circulation throughout. The practitioner carrying out the manipulation charges separately.

Rates data updated October 2026.

How much rates vary

Facilitymedian $48 · 10th to 90th $48 to $214Professionalmedian $141 · 10th to 90th $48 to $269
$50$100$200$500facility $48professional $141

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$47.86
Median
$47.86
Typical High
$218.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$47.86
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$147.91
Typical High
$234.42
CareSource
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$95.50
Typical High
$190.55
CareSource
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$79.43
Typical High
$165.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$199.53
Typical High
$524.81
Molina
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$199.53
Typical High
$199.53
United
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$53.70
Typical High
$70.79