go back

Musculoskeletal Surgical Procedure

South Dakota 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?

$891

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $2,399 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 4 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$891$871 to $1,023
FacilityA hospital or hospital-owned outpatient department$2,399$1,445 to $5,370

How much rates vary

Facilitymedian $2,399 · 10th to 90th $1,202 to $10,965Professionalmedian $891 · 10th to 90th $851 to $1,950
$1K$2K$5K$10Kfacility $2,399professional $891

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
$4,365.16
Median
$4,365.16
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$870.96
Typical High
$891.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,513.56
Typical High
$10,964.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,698.24
Typical High
$6,760.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,230.27
Typical High
$2,630.27

Where South Dakota 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.

South Dakota· 50th of 51

$891

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.