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Musculoskeletal Surgical Procedure

Maine 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?

$977

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $977 for this service. Most negotiated rates run $759 to $2,399.

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.

How much rates vary

Professionalmedian $977 · 10th to 90th $661 to $6,607
$500$1K$2K$5Kprofessional $977

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
Professional
Modifier
Global
Typical Low
$489.78
Median
$6,606.93
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,096.48
Typical High
$1,584.89
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$1,698.24
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$6,606.93
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$851.14
Typical High
$1,479.11

Where Maine 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.

Maine· 40th of 51

$977

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.