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Musculoskeletal Surgical Procedure

Colorado 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?

$3,311

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $16,218 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 6 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$851 to $1,738
FacilityA hospital or hospital-owned outpatient department$16,218$7,413 to $22,387

How much rates vary

Facilitymedian $16,218 · 10th to 90th $1,698 to $36,308Professionalmedian $1,023 · 10th to 90th $851 to $6,607
$1K$2K$5K$10K$20K$50Kfacility $16,218professional $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
$851.14
Median
$5,370.32
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$912.01
Typical High
$7,943.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$20,892.96
Typical High
$38,904.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$5,011.87
Typical High
$15,848.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$3,630.78
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$933.25
Typical High
$6,606.93
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,949.84
Typical High
$2,238.72
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,318.26
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$13,489.63
Typical High
$20,417.38
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,348.96
Typical High
$2,238.72

Where Colorado 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.

Colorado· 9th of 51

$3,311

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.