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Musculoskeletal Surgical Procedure

New York 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?

$2,455

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $1,514 from a physician practice, and about $7,762 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 9 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$1,514$871 to $2,089
FacilityA hospital or hospital-owned outpatient department$7,762$4,898 to $12,589

How much rates vary

Facilitymedian $7,762 · 10th to 90th $2,630 to $16,982Professionalmedian $1,514 · 10th to 90th $661 to $6,607
$500$1K$2K$5K$10K$20Kfacility $7,762professional $1,514

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
$1,819.70
Median
$6,165.95
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$7,943.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$11,220.18
Typical High
$17,782.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,698.24
Typical High
$2,630.27
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,122.02
Typical High
$2,570.40
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,071.52
Typical High
$1,548.82
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$851.14
Typical High
$1,479.11
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$6,309.57
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$851.14
Typical High
$1,949.84
Univera
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Univera
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$602.56
Typical High
$1,318.26

Where New York 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 York· 10th of 51

$2,455

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.