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Anesthesia For Diagnostic Shoulder Scope

Nationwide rates for HCPCS 01622

Anesthesia care provided while a scope is used to look inside the shoulder joint. The examination is diagnostic rather than a treatment. The charge covers the anesthesia care, not the shoulder procedure.

Rates data updated July 2026.

How much rates vary

Facilitymedian $52 · 10th to 90th $31 to $52Professionalmedian $123 · 10th to 90th $123 to $166
$10$20$50$100facility $52professional $123

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
Aetna
Setting
Facility
Modifier
QX · CRNA, directed
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
Cigna
Setting
Facility
Modifier
QK · Directing 2–4 cases
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Cigna
Setting
Facility
Modifier
QX · CRNA, directed
Typical Low
$30.90
Median
$30.90
Typical High
$30.90