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Musculoskeletal Surgical Procedure

Ohio 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?

$1,549

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1,549 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $8,913 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 8 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$1,318$891 to $1,905
FacilityA hospital or hospital-owned outpatient department$8,913$5,129 to $12,023

How much rates vary

Facilitymedian $8,913 · 10th to 90th $1,905 to $18,197Professionalmedian $1,318 · 10th to 90th $776 to $6,607
$100$500$2K$10Kfacility $8,913professional $1,318

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
$891.25
Median
$10,232.93
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$891.25
Typical High
$7,943.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$6,165.95
Typical High
$22,908.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,548.82
Typical High
$2,398.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$10,715.19
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$12,022.64
Typical High
$21,379.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$3,630.78
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$60.26
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$8,709.64
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,122.02
Typical High
$1,698.24

Where Ohio 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.

Ohio· 19th of 51

$1,549

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.