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Anesthesia For Diagnostic Shoulder Scope

Illinois 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 $275 · 10th to 90th $45 to $398Professionalmedian $229 · 10th to 90th $45 to $302
$20$50$100$200$500facility $275professional $229

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$275.42
Typical High
$398.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$346.74
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$251.19
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$239.88
Typical High
$323.59
Hally Health
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$269.15
Typical High
$363.08
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$223.87
United
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$54.95
Typical High
$77.62