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Musculoskeletal Surgical Procedure

Idaho 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?

$1,445

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $5,495 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 8 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$1,349$933 to $2,138
FacilityA hospital or hospital-owned outpatient department$5,495$1,950 to $13,490

How much rates vary

Facilitymedian $5,495 · 10th to 90th $912 to $21,878Professionalmedian $1,349 · 10th to 90th $851 to $7,943
$1K$2K$5K$10K$20Kfacility $5,495professional $1,349

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
$4,466.84
Median
$4,466.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$977.24
Typical High
$7,943.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$7,413.10
Typical High
$18,620.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,041.74
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,265.80
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$954.99
Typical High
$6,606.93
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$6,456.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$16,218.10
Typical High
$23,442.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,380.38
Typical High
$2,630.27
Select Health
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$13,489.63
Typical High
$18,620.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$11,748.98
Typical High
$29,512.09
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,380.38
Typical High
$1,949.84

Where Idaho 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.

Idaho· 22nd of 51

$1,445

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.