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Spine Or Joint Procedure

Maine 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?

$1,230

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $1,230 for this service. Most negotiated rates run $871 to $1,318.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $14,791 · 10th to 90th $14,791 to $14,791Professionalmedian $1,230 · 10th to 90th $759 to $1,549
$1K$2K$5K$10Kfacility $14,791professional $1,230

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,318.26
Typical High
$1,412.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$1,905.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$1,698.24
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,318.26
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$851.14
Typical High
$1,737.80

Where Maine 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.

Maine· 48th of 51

$1,230

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.