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Musculoskeletal Surgical Procedure

North Carolina 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?

$1,000

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $1,549 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$977$851 to $1,905
FacilityA hospital or hospital-owned outpatient department$1,549$912 to $8,710

How much rates vary

Facilitymedian $1,549 · 10th to 90th $912 to $16,982Professionalmedian $977 · 10th to 90th $100 to $2,884
$100$500$2K$10Kfacility $1,549professional $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
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,659.59
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$912.01
Typical High
$6,606.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$1,380.38
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$15,488.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,000.00
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$13,803.84
Typical High
$23,442.29
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$1,905.46
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$20,892.96
Typical High
$20,892.96
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$7,413.10

Where North Carolina 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.

North Carolina· 37th of 51

$1,000

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.