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Spine Or Joint Procedure

California rates for HCPCS 0221T

A procedure involving the spine or a joint, used to diagnose or treat a musculoskeletal condition. Given its cost is notably higher than a simple injection, it likely involves a more involved intervention such as device placement or a structural treatment. Ask your provider for the specific diagnosis and technique involved in your case.

Rates data updated July 2026.

How much does Spine Or Joint Procedure cost?

$5,248

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $5,248 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $6,457 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,318$977 to $1,514
FacilityA hospital or hospital-owned outpatient department$6,457$4,074 to $9,333

How much rates vary

Facilitymedian $6,457 · 10th to 90th $2,570 to $14,125Professionalmedian $1,318 · 10th to 90th $40 to $6,457
$50$200$1K$5K$20Kfacility $6,457professional $1,318

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$9,332.54
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,380.38
Typical High
$6,456.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,165.95
Typical High
$13,803.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,445.44
Typical High
$2,570.40
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$1,023.29
Typical High
$3,801.89
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$891.25
Typical High
$5,011.87
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,760.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$26,302.68
Typical High
$26,302.68
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$8,912.51
Median
$10,715.19
Typical High
$10,715.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,380.38
Typical High
$2,089.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,122.02
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$10,000.00
Typical High
$20,892.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$2,884.03

Where California sits

The same service costs 25.1 times more in California than in Minnesota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 1st of 51

$5,248

CA $5,248MN $209

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.