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Musculoskeletal Surgical Procedure

Massachusetts 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?

$1,202

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $3,715 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$1,175$794 to $1,820
FacilityA hospital or hospital-owned outpatient department$3,715$2,692 to $6,607

How much rates vary

Facilitymedian $3,715 · 10th to 90th $851 to $8,710Professionalmedian $1,175 · 10th to 90th $724 to $6,607
$100$500$2K$10Kfacility $3,715professional $1,175

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
$2,691.53
Median
$3,715.35
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$6,606.93
Typical High
$7,943.28
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$6,918.31
Typical High
$20,892.96
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,071.52
Typical High
$5,754.40
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$851.14
Typical High
$1,174.90
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$6,918.31
Typical High
$15,488.17
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,148.15
Typical High
$1,698.24
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$6,918.31
Typical High
$20,892.96
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,071.52
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$7,244.36
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,148.15
Typical High
$1,949.84

Where Massachusetts 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.

Massachusetts· 29th of 51

$1,202

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.