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Nationwide rates for HCPCS 01402

Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty

Facilitymedian $851 · 10th–90th $52–$2,2390%20%10th90th$851Professionalmedian $245 · 10th–90th $195–$2630%20%40%10th90th$245$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QK
Typical Low / Median / Typical High
$741.31 / $851.14 / $1,000.00
Aetna
Facility/Professional
Facility
Modifier
QX
Typical Low / Median / Typical High
$575.44 / $851.14 / $4,677.35
Aetna
Facility/Professional
Facility
Modifier
QZ
Typical Low / Median / Typical High
$575.44 / $1,288.25 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
QK
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QX
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QY
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90

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