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Musculoskeletal Surgical Procedure

New Jersey 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?

$1,950

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,950 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $8,511 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$1,349$977 to $6,607
FacilityA hospital or hospital-owned outpatient department$8,511$6,026 to $10,715

How much rates vary

Facilitymedian $8,511 · 10th to 90th $4,467 to $17,378Professionalmedian $1,349 · 10th to 90th $776 to $7,943
$1K$2K$5K$10K$20Kfacility $8,511professional $1,349

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
$4,466.84
Median
$7,943.28
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$5,888.44
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$19,498.45
Typical High
$21,379.62
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,548.82
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$26,915.35
Typical High
$38,018.94
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,412.54
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$9,549.93
Typical High
$23,988.33
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,023.29
Typical High
$2,454.71

Where New Jersey 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.

New Jersey· 14th of 51

$1,950

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.