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Nationwide rates for HCPCS 01638

Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; total shoulder replacement

Facilitymedian $851 · 10th–90th $52–$1,5490%20%10th90th$851Professionalmedian $269 · 10th–90th $245–$3630%20%40%10th90th$269$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QK
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
Aetna
Facility/Professional
Facility
Modifier
QX
Typical Low / Median / Typical High
$812.83 / $870.96 / $1,548.82
Aetna
Facility/Professional
Facility
Modifier
QZ
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
QK
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QX
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QY
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90

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