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Anesthesia For Diagnostic Shoulder Scope

Georgia 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 $288 · 10th to 90th $30 to $372Professionalmedian $182 · 10th to 90th $43 to $447
$5$10$20$50$100$200$500facility $288professional $182

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
$30.20
Median
$288.40
Typical High
$371.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$47.86
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$190.55
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$302.00
Typical High
$489.78
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$436.52
Typical High
$660.69
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$30.90
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$75.86
Typical High
$97.72