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Musculoskeletal Surgical Procedure

Michigan 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?

$6,607

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $6,607 for this service. The price depends on where it is billed: about $6,607 from a physician practice, and about $4,898 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 4 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$6,607$912 to $6,918
FacilityA hospital or hospital-owned outpatient department$4,898$4,898 to $6,918

How much rates vary

Facilitymedian $4,898 · 10th to 90th $912 to $11,749Professionalmedian $6,607 · 10th to 90th $759 to $7,943
$1K$2K$5K$10K$20Kfacility $4,898professional $6,607

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
$912.01
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,348.96
Typical High
$7,943.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$6,918.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$6,918.31
Typical High
$7,244.36
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$4,897.79
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$10,000.00
Typical High
$19,054.61
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,202.26
Typical High
$1,548.82

Where Michigan 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.

Michigan· 2nd of 51

$6,607

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.