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Musculoskeletal Surgical Procedure

Virginia 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?

$1,413

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $1,413 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $3,631 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$933 to $3,236
FacilityA hospital or hospital-owned outpatient department$3,631$1,175 to $8,913

How much rates vary

Facilitymedian $3,631 · 10th to 90th $933 to $14,454Professionalmedian $1,318 · 10th to 90th $871 to $6,607
$100$500$2K$10Kfacility $3,631professional $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
$933.25
Median
$5,888.44
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$6,606.93
Typical High
$7,079.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$13,182.57
Typical High
$15,488.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,288.25
Typical High
$2,290.87
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,584.89
Typical High
$14,454.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$1,122.02
Medcost
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,380.38
Typical High
$7,585.78
Sentara
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,230.27
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,230.27
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$12,302.69
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,380.38
Typical High
$2,290.87

Where Virginia 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.

Virginia· 24th of 51

$1,413

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.