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Anesthesia For Diagnostic Shoulder Scope

North Carolina 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 $309 · 10th to 90th $30 to $617Professionalmedian $71 · 10th to 90th $30 to $380
$20$50$100$200$500facility $309professional $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
$30.20
Median
$309.03
Typical High
$616.60
Aetna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$37.15
Typical High
$489.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$199.53
Typical High
$457.09
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$6.61
Median
$37.15
Typical High
$89.13
United
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$63.10
Typical High
$100.00
1 more rate 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
Ambetter
Setting
Professional
Modifier
QZ · CRNA, independent
Typical Low
$302.00
Median
$302.00
Typical High
$302.00