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Anesthesia for a Scan or Radiation Treatment

Washington 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 October 2026.

How much rates vary

Facilitymedian $417 · 10th to 90th $50 to $603Professionalmedian $380 · 10th to 90th $50 to $1,905
$50$100$200$500$1K$2Kfacility $417professional $380

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
$50.12
Median
$562.34
Typical High
$602.56
Aetna
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$50.12
Typical High
$562.34
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$1,905.46
Typical High
$3,801.89
Asuris Northwest Health
Setting
Professional
Modifier
AD · Supervising 5+
Typical Low
$204.17
Median
$213.80
Typical High
$309.03
Asuris Northwest Health
Setting
Professional
Modifier
QK · Directing 2–4 cases
Typical Low
$213.80
Median
$213.80
Typical High
$309.03
Asuris Northwest Health
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$213.80
Median
$213.80
Typical High
$309.03
Asuris Northwest Health
Setting
Professional
Modifier
QY · Directing one CRNA
Typical Low
$213.80
Median
$213.80
Typical High
$309.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$389.05
Typical High
$616.60
Molina
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$81.28
Typical High
$162.18
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$416.87
Typical High
$524.81
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$537.03
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$630.96
Regence BlueShield
Setting
Professional
Modifier
AD · Supervising 5+
Typical Low
$213.80
Median
$213.80
Typical High
$309.03
Regence BlueShield
Setting
Professional
Modifier
QK · Directing 2–4 cases
Typical Low
$213.80
Median
$213.80
Typical High
$309.03
Regence BlueShield
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$213.80
Median
$213.80
Typical High
$309.03
Regence BlueShield
Setting
Professional
Modifier
QY · Directing one CRNA
Typical Low
$213.80
Median
$213.80
Typical High
$309.03
United
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$56.23
Typical High
$83.18
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$144.54
Typical High
$144.54
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
QZ · CRNA, independent
Typical Low
$245.47
Median
$245.47
Typical High
$331.13