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Spine Or Joint Procedure

Pennsylvania 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?

$1,318

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $6,026 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 8 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$1,288$977 to $1,318
FacilityA hospital or hospital-owned outpatient department$6,026$3,802 to $7,762

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,148 to $8,710Professionalmedian $1,288 · 10th to 90th $891 to $1,862
$1K$2K$5K$10Kfacility $6,026professional $1,288

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
$1,148.15
Median
$6,165.95
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,258.93
Typical High
$1,412.54
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
$707.95
Median
$776.25
Typical High
$5,011.87
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$2,089.30
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$5,495.41
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$5,370.32
Typical High
$9,549.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,202.26
Typical High
$2,630.27
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,862.09
Typical High
$1,862.09
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,778.28
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,466.84
Typical High
$21,379.62
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,905.46
Typical High
$3,162.28

Where Pennsylvania 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.

Pennsylvania· 41st of 51

$1,318

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.