go back

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 June 2026.

Facilitymedian $6,026 · 10th–90th $1,380$10,4710%10%20%10th90th$6,026Professionalmedian $1,259 · 10th–90th $891$1,5850%20%40%10th90th$1,259$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$6,165.95
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,258.93
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$776.25
Typical High
$5,888.44
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
$1,047.13
Median
$4,786.30
Typical High
$8,709.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,230.27
Typical High
$1,445.44
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
$1,659.59
Typical High
$1,862.09
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,659.59
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$5,011.87
Typical High
$23,442.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,905.46
Typical High
$3,162.28