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Spine Or Joint Procedure

Illinois 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?

$1,288

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $3,388 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 6 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$1,175$832 to $1,318
FacilityA hospital or hospital-owned outpatient department$3,388$1,738 to $6,166

How much rates vary

Facilitymedian $3,388 · 10th to 90th $933 to $10,233Professionalmedian $1,175 · 10th to 90th $759 to $1,905
$1K$2K$5K$10K$20Kfacility $3,388professional $1,175

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
$831.76
Median
$3,235.94
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,230.27
Typical High
$1,513.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$10,471.29
Typical High
$12,589.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$776.25
Typical High
$1,698.24
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$954.99
Typical High
$1,348.96
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$794.33
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$912.01
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$6,025.60
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,071.52
Typical High
$2,290.87

Where Illinois 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.

Illinois· 42nd of 51

$1,288

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.