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Spine Or Joint Procedure

North Carolina 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 negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $1,905 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$1,380$1,230 to $2,344
FacilityA hospital or hospital-owned outpatient department$1,905$1,318 to $9,333

How much rates vary

Facilitymedian $1,905 · 10th to 90th $1,230 to $12,589Professionalmedian $1,380 · 10th to 90th $1,122 to $3,802
$1K$2K$5K$10K$20Kfacility $1,905professional $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
$1,230.27
Median
$7,585.78
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,230.27
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,290.87
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$8,709.64
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,548.82
Typical High
$2,630.27
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$26,302.68
Typical High
$26,302.68
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$10,715.19

Where North Carolina 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.

North Carolina· 28th 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.