go back

Spine Or Joint Procedure

New Jersey 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?

$1,862

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,413 from a physician practice, and about $8,511 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 4 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$1,413$1,318 to $2,570
FacilityA hospital or hospital-owned outpatient department$8,511$6,310 to $11,220

How much rates vary

Facilitymedian $8,511 · 10th to 90th $4,467 to $13,490Professionalmedian $1,413 · 10th to 90th $1,000 to $6,026
$1K$2K$5K$10K$20Kfacility $8,511professional $1,413

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
$4,466.84
Median
$8,511.38
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$10,471.29
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$2,089.30
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$21,877.62
Typical High
$36,307.81
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,949.84
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$7,079.46
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,348.96
Typical High
$3,388.44

Where New Jersey 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.

New Jersey· 10th of 51

$1,862

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.