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Musculoskeletal Surgical Procedure

Indiana 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?

$1,995

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $1,995 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $26,303 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$891$617 to $1,288
FacilityA hospital or hospital-owned outpatient department$26,303$16,982 to $32,359

How much rates vary

Facilitymedian $26,303 · 10th to 90th $4,898 to $38,905Professionalmedian $891 · 10th to 90th $575 to $6,607
$500$1K$2K$5K$10K$20K$50Kfacility $26,303professional $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
$1,380.38
Median
$4,897.79
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$6,606.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$29,512.09
Typical High
$43,651.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,096.48
Typical High
$2,570.40
CareSource
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$11,220.18
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$5,623.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$11,220.18
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,047.13
Typical High
$1,737.80

Where Indiana 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.

Indiana· 13th of 51

$1,995

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.