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Anesthesia for Manipulation of the Spine

Wisconsin 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 July 2026.

How much rates vary

Facilitymedian $31 · 10th to 90th $31 to $31
facility $31

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
Quartz
Setting
Facility
Modifier
QK · Directing 2–4 cases
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Quartz
Setting
Facility
Modifier
QX · CRNA, directed
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Quartz
Setting
Facility
Modifier
QY · Directing one CRNA
Typical Low
$30.90
Median
$30.90
Typical High
$30.90