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Anesthesia For Diagnostic Shoulder Scope

Wyoming 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 $275 · 10th to 90th $56 to $275Professionalmedian $79 · 10th to 90th $56 to $324
$50$100$200facility $275professional $79

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
$56.23
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$281.84
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
BCBS Wyoming
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
BCBS Wyoming
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
BCBS Wyoming
Setting
Professional
Modifier
AD · Supervising 5+
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$338.84
Typical High
$380.19
United
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$87.10
Typical High
$95.50