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Anesthesia For Diagnostic Shoulder Scope

Oklahoma 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 $302 · 10th to 90th $40 to $302Professionalmedian $214 · 10th to 90th $48 to $1,122
$50$100$200$500$1Kfacility $302professional $214

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
$39.81
Median
$302.00
Typical High
$302.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$288.40
BCBS Oklahoma
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$257.04
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$199.53
Typical High
$239.88
Medica
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Medica
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$64.57
Typical High
$1,122.02
United
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$51.29
Typical High
$61.66