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Musculoskeletal Surgical Procedure

Texas 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?

$1,585

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $933 from a physician practice, and about $4,169 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$933$891 to $1,585
FacilityA hospital or hospital-owned outpatient department$4,169$1,905 to $8,318

How much rates vary

Facilitymedian $4,169 · 10th to 90th $977 to $13,804Professionalmedian $933 · 10th to 90th $759 to $6,607
$1K$2K$5K$10K$20Kfacility $4,169professional $933

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
$977.24
Median
$3,715.35
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$933.25
Typical High
$6,606.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$9,549.93
Typical High
$19,498.45
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$3,630.78
Typical High
$6,918.31
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$20,892.96
Typical High
$20,892.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$7,413.10
Typical High
$7,413.10
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,071.52
Typical High
$6,606.93
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$10,000.00
Typical High
$10,000.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,071.52
Typical High
$6,606.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$7,079.46
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,698.24
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,412.54

Where Texas 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.

Texas· 18th of 51

$1,585

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.