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Spine Or Joint Procedure

Washington, DC 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?

$1,380

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $1,380 for this service. Most negotiated rates run $1,380 to $4,786.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,380 to $7,762Professionalmedian $1,380 · 10th to 90th $1,288 to $3,020
$2K$5K$10K$20Kfacility $5,495professional $1,380

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
$1,380.38
Median
$4,786.30
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,380.38
Typical High
$1,380.38
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$9,549.93
Typical High
$15,848.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,230.27
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$14,791.08
Typical High
$38,018.94
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,238.72
Typical High
$3,890.45

Where Washington, DC 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.

Washington, DC· 29th of 51

$1,380

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.