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Musculoskeletal Surgical Procedure

Kentucky 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 Kentucky, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $933 from a physician practice, and about $7,413 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$933$724 to $1,230
FacilityA hospital or hospital-owned outpatient department$7,413$851 to $10,233

How much rates vary

Facilitymedian $7,413 · 10th to 90th $692 to $16,218Professionalmedian $933 · 10th to 90th $589 to $6,607
$500$1K$2K$5K$10K$20K$50Kfacility $7,413professional $933

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
$691.83
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$870.96
Typical High
$6,606.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$10,232.93
Typical High
$10,232.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,096.48
Typical High
$1,698.24
CareSource
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$12,302.69
Typical High
$45,708.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$12,022.64
Typical High
$21,379.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$7,079.46
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,230.27
Typical High
$1,778.28

Where Kentucky 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.

Kentucky· 41st 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.