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Musculoskeletal Surgical Procedure

Rhode Island 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?

$1,445

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $9,120 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 3 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$912 to $6,607
FacilityA hospital or hospital-owned outpatient department$9,120$5,888 to $13,490

How much rates vary

Facilitymedian $9,120 · 10th to 90th $3,715 to $16,218Professionalmedian $1,349 · 10th to 90th $646 to $7,943
$500$1K$2K$5K$10Kfacility $9,120professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$6,606.93
Typical High
$7,943.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$12,589.25
Typical High
$16,218.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$645.65
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$7,762.47
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$870.96
Typical High
$1,621.81

Where Rhode Island 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.

Rhode Island· 21st of 51

$1,445

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.