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Anesthesia For Diagnostic Shoulder Scope

Minnesota 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 $35 · 10th to 90th $35 to $275Professionalmedian $71 · 10th to 90th $35 to $182
$20$50$100$200$500$1Kfacility $35professional $71

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
$34.67
Median
$34.67
Typical High
$275.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$363.08
BCBS Minnesota
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$51.29
Median
$72.44
Typical High
$79.43
Cigna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$263.03
Typical High
$616.60
Medica
Setting
Facility
Modifier
None
Typical Low
$16.60
Median
$16.60
Typical High
$19.95
Medica
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$79.43
Typical High
$162.18
United
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$75.86
Typical High
$114.82
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Cigna
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$354.81
Median
$436.52
Typical High
$660.69
Health Partners
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$263.03
Median
$398.11
Typical High
$1,047.13