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Spine Or Joint Procedure

Texas 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?

$1,585

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $3,890 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 9 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$1,230 to $1,413
FacilityA hospital or hospital-owned outpatient department$3,890$1,905 to $6,918

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,122 to $12,882Professionalmedian $1,288 · 10th to 90th $1,023 to $2,138
$1K$2K$5K$10K$20Kfacility $3,890professional $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
$1,071.52
Median
$3,715.35
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,258.93
Typical High
$1,412.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$8,912.51
Typical High
$17,378.01
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
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
$691.83
Median
$741.31
Typical High
$891.25
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$26,302.68
Typical High
$26,302.68
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$8,912.51
Median
$10,715.19
Typical High
$10,715.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,380.38
Typical High
$2,454.71
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$12,589.25
Typical High
$12,589.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,380.38
Typical High
$2,454.71
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,248.07
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,445.44
Typical High
$2,290.87
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,949.84

Where Texas 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.

Texas· 17th of 51

$1,585

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.