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Anesthesia For Diagnostic Shoulder Scope

Arizona 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 October 2026.

How much rates vary

Facilitymedian $81 · 10th to 90th $81 to $105Professionalmedian $50 · 10th to 90th $35 to $1,122
$50$100$200$500$1Kfacility $81professional $50

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
Professional
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$346.74
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$181.97
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$281.84
Typical High
$363.08
Medica
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$104.71
Medica
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$60.26
Typical High
$1,122.02
United
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$42.66
Typical High
$74.13