go back

Pennsylvania rates for HCPCS 01922

Anesthesia for non-invasive imaging or radiation therapy

Facilitymedian $525 · 10th–90th $141$7590%10%10th90th$525Professionalmedian $537 · 10th–90th $209$1,1480%10%10th90th$537$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $575.44 / $977.24
Aetna
Facility/Professional
Facility
Modifier
QK
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Aetna
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$776.25 / $1,202.26 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
QK
Typical Low / Median / Typical High
$169.82 / $489.78 / $707.95
Aetna
Facility/Professional
Professional
Modifier
QX
Typical Low / Median / Typical High
$204.17 / $501.19 / $724.44
Aetna
Facility/Professional
Professional
Modifier
QZ
Typical Low / Median / Typical High
$512.86 / $812.83 / $2,238.72
Ambetter
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$229.09 / $323.59 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
QK
Typical Low / Median / Typical High
$162.18 / $162.18 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
QX
Typical Low / Median / Typical High
$10.00 / $131.83 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
QZ
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Geisinger
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$186.21 / $426.58 / $630.96
Geisinger
Facility/Professional
Professional
Modifier
QK
Typical Low / Median / Typical High
$186.21 / $426.58 / $630.96
Geisinger
Facility/Professional
Professional
Modifier
QX
Typical Low / Median / Typical High
$186.21 / $426.58 / $630.96
Geisinger
Facility/Professional
Professional
Modifier
QZ
Typical Low / Median / Typical High
$186.21 / $426.58 / $630.96
Highmark BCBS
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$630.96 / $891.25 / $1,584.89
Highmark BCBS
Facility/Professional
Professional
Modifier
QK
Typical Low / Median / Typical High
$575.44 / $776.25 / $1,380.38
Highmark BCBS
Facility/Professional
Professional
Modifier
QX
Typical Low / Median / Typical High
$602.56 / $794.33 / $1,445.44
Highmark BCBS
Facility/Professional
Professional
Modifier
QZ
Typical Low / Median / Typical High
$446.68 / $602.56 / $758.58
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $524.81 / $676.08
United
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$81.28 / $85.11 / $851.14
United
Facility/Professional
Professional
Modifier
QK
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
United
Facility/Professional
Professional
Modifier
QX
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43