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Musculoskeletal Surgical Procedure

Connecticut 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?

$5,623

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $5,623 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $8,511 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 5 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$1,660$891 to $6,607
FacilityA hospital or hospital-owned outpatient department$8,511$6,761 to $12,882

How much rates vary

Facilitymedian $8,511 · 10th to 90th $4,677 to $25,704Professionalmedian $1,660 · 10th to 90th $724 to $7,943
$1K$2K$5K$10K$20Kfacility $8,511professional $1,660

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
$4,570.88
Median
$7,079.46
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$6,606.93
Typical High
$7,943.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$17,378.01
Typical High
$26,915.35
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,288.25
Typical High
$3,162.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$15,488.17
Typical High
$33,884.42
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$11,220.18
Typical High
$18,620.87
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,000.00
Typical High
$1,778.28

Where Connecticut 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.

Connecticut· 6th of 51

$5,623

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.