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Anesthesia For Diagnostic Shoulder Scope

New Hampshire 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 $347 · 10th to 90th $302 to $447Professionalmedian $155 · 10th to 90th $43 to $427
$50$100$200$500facility $347professional $155

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
$302.00
Median
$346.74
Typical High
$446.68
Aetna
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$41.69
Typical High
$457.09
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$331.13
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$288.40
Typical High
$436.52
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$60.26
Typical High
$100.00
United
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$64.57
Typical High
$100.00