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Spine Or Joint Procedure

West Virginia 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 West Virginia, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $1,259 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 3 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$1,318$1,259 to $1,380
FacilityA hospital or hospital-owned outpatient department$1,259$1,259 to $1,905

How much rates vary

Facilitymedian $1,259 · 10th to 90th $1,259 to $2,630Professionalmedian $1,318 · 10th to 90th $977 to $1,862
$1K$2K$5K$10K$20Kfacility $1,259professional $1,318

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
$1,258.93
Median
$1,258.93
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$1,380.38
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
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,235.94
Typical High
$20,417.38
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,659.59
Typical High
$2,570.40

Where West Virginia 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.

West Virginia· 38th 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.