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Musculoskeletal Surgical Procedure

Missouri 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?

$1,023

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $3,890 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$912$589 to $1,175
FacilityA hospital or hospital-owned outpatient department$3,890$1,778 to $5,754

How much rates vary

Facilitymedian $3,890 · 10th to 90th $933 to $8,511Professionalmedian $912 · 10th to 90th $525 to $2,512
$500$1K$2K$5K$10K$20Kfacility $3,890professional $912

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
$1,174.90
Median
$4,265.80
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$912.01
Typical High
$4,897.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$549.54
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$2,041.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,348.96
Typical High
$11,748.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,445.44
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$5,495.41
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,288.25
Typical High
$1,949.84

Where Missouri 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.

Missouri· 36th of 51

$1,023

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.