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Musculoskeletal Surgical Procedure

California rates for HCPCS 0274T

A procedure involving bones, joints, or related soft tissue, used to diagnose or treat a musculoskeletal condition. Given its typical cost, it likely represents a moderately involved surgical or interventional service rather than a simple office visit or injection. Ask your provider for the specific diagnosis and technique used in your case.

Rates data updated July 2026.

How much does Musculoskeletal Surgical Procedure cost?

$5,888

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $5,888 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $6,607 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$1,023$661 to $6,607
FacilityA hospital or hospital-owned outpatient department$6,607$4,365 to $9,333

How much rates vary

Facilitymedian $6,607 · 10th to 90th $3,631 to $14,125Professionalmedian $1,023 · 10th to 90th $40 to $7,943
$50$200$1K$5K$20Kfacility $6,607professional $1,023

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
$4,897.79
Median
$10,000.00
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$6,606.93
Typical High
$7,943.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,165.95
Typical High
$13,803.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,096.48
Typical High
$1,819.70
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$8,912.51
Typical High
$19,952.62
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,370.32
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$20,892.96
Typical High
$20,892.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$7,413.10
Typical High
$7,413.10
Providence
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$7,943.28
Providence
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$794.33
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$13,803.84
Typical High
$28,840.32
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,047.13
Typical High
$2,089.30

Where California sits

The same service costs 8.9 times more in Vermont than in Mississippi. 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.

California· 5th of 51

$5,888

VT $7,943MS $891

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.