go back

Musculoskeletal Surgical Procedure

Montana 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?

$1,585

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $1,622 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$1,288$1,000 to $1,622
FacilityA hospital or hospital-owned outpatient department$1,622$1,585 to $1,622

How much rates vary

Facilitymedian $1,622 · 10th to 90th $1,479 to $19,953Professionalmedian $1,288 · 10th to 90th $871 to $7,943
$1K$2K$5K$10K$20Kfacility $1,622professional $1,288

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
$870.96
Median
$1,071.52
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,318.26
Typical High
$1,479.11
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,621.81
Typical High
$19,952.62
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,621.81
Typical High
$19,952.62
Providence
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,148.15
Typical High
$6,918.31
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,318.26
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,584.89
Typical High
$1,819.70

Where Montana 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.

Montana· 17th of 51

$1,585

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.