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Musculoskeletal Surgical Procedure

Illinois 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?

$933

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $3,890 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$891$661 to $1,096
FacilityA hospital or hospital-owned outpatient department$3,890$1,259 to $6,761

How much rates vary

Facilitymedian $3,890 · 10th to 90th $575 to $10,000Professionalmedian $891 · 10th to 90th $575 to $6,607
$500$1K$2K$5K$10Kfacility $3,890professional $891

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
$575.44
Median
$1,862.09
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$891.25
Typical High
$6,606.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$10,471.29
Typical High
$12,589.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,230.27
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$954.99
Typical High
$1,230.27
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$794.33
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$912.01
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$6,456.54
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$954.99
Typical High
$1,548.82

Where Illinois 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.

Illinois· 43rd of 51

$933

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.