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Anesthesia for a Scan or Radiation Treatment

Pennsylvania rates for HCPCS 01922

Anesthesia care given so a patient can stay completely still and comfortable through a scan or a session of radiation treatment. It is used mainly for young children and for people who cannot lie still or cannot tolerate being enclosed in a scanner. The anesthesia team watches breathing and circulation throughout and stays with the patient until they are awake.

Rates data updated July 2026.

Facilitymedian $427 · 10th–90th $6$6760%10%20%10th90th$427Professionalmedian $102 · 10th–90th $49$3160%5%10%10th90th$102$10.0$50.0$200.0$1.0K$5.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$524.81
Typical High
$676.08
Aetna
Setting
Facility
Modifier
QY · Directing one CRNA
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Aetna
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$173.78
Median
$245.47
Typical High
$524.81
Aetna
Setting
Professional
Modifier
QK · Directing 2–4 cases
Typical Low
$46.77
Median
$93.33
Typical High
$186.21
Aetna
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$46.77
Median
$93.33
Typical High
$194.98
Aetna
Setting
Professional
Modifier
QZ · CRNA, independent
Typical Low
$177.83
Median
$208.93
Typical High
$208.93
Ambetter
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$229.09
Median
$245.47
Typical High
$467.74
Ambetter
Setting
Professional
Modifier
QK · Directing 2–4 cases
Typical Low
$162.18
Median
$173.78
Typical High
$263.03
Ambetter
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$10.00
Median
$186.21
Typical High
$363.08
Ambetter
Setting
Professional
Modifier
QZ · CRNA, independent
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Facility
Modifier
QK · Directing 2–4 cases
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Cigna
Setting
Facility
Modifier
QX · CRNA, directed
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Cigna
Setting
Facility
Modifier
QY · Directing one CRNA
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Geisinger
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$186.21
Median
$426.58
Typical High
$630.96
Geisinger
Setting
Professional
Modifier
QK · Directing 2–4 cases
Typical Low
$186.21
Median
$426.58
Typical High
$630.96
Geisinger
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$186.21
Median
$426.58
Typical High
$630.96
Geisinger
Setting
Professional
Modifier
QZ · CRNA, independent
Typical Low
$186.21
Median
$426.58
Typical High
$630.96
Highmark BCBS
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$616.60
Median
$912.01
Typical High
$1,584.89
Highmark BCBS
Setting
Professional
Modifier
QK · Directing 2–4 cases
Typical Low
$602.56
Median
$776.25
Typical High
$1,380.38
Highmark BCBS
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$602.56
Median
$776.25
Typical High
$1,380.38
Highmark BCBS
Setting
Professional
Modifier
QZ · CRNA, independent
Typical Low
$446.68
Median
$602.56
Typical High
$812.83
Johns Hopkins Employer Health Plan
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$501.19
Typical High
$676.08
Martin's Point
Setting
Facility
Modifier
QY · Directing one CRNA
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Martin's Point
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$177.83
Median
$251.19
Typical High
$549.54
Martin's Point
Setting
Professional
Modifier
QK · Directing 2–4 cases
Typical Low
$48.98
Median
$93.33
Typical High
$186.21
Martin's Point
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$48.98
Median
$93.33
Typical High
$186.21
Martin's Point
Setting
Professional
Modifier
QZ · CRNA, independent
Typical Low
$177.83
Median
$181.97
Typical High
$630.96
United
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$81.28
Median
$85.11
Typical High
$851.14
United
Setting
Professional
Modifier
QK · Directing 2–4 cases
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
United
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$79.43
Median
$79.43
Typical High
$79.43