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Anesthesia For Diagnostic Shoulder Scope

Texas 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 $81 · 10th to 90th $81 to $81Professionalmedian $224 · 10th to 90th $42 to $2,399
$5$20$100$500$2Kfacility $81professional $224

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
$41.69
Median
$50.12
Typical High
$263.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$50.12
Typical High
$371.54
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$223.87
Typical High
$457.09
Christus
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$208.93
Typical High
$331.13
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$2,398.83
Moda Health
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$208.93
Typical High
$263.03
Moda Health
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$50.12
Typical High
$371.54
Molina
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$91.20
Typical High
$436.52
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$25.12
Typical High
$54.95
Providence
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$208.93
Typical High
$323.59
United
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$54.95
Typical High
$75.86
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$3.98
Median
$3.98
Typical High
$3.98