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Unlisted Bone Or Muscle Procedure Of The Head

Pennsylvania rates for HCPCS 21499

An operation on the bones, muscles, or supporting soft tissues of the head that has no standard named entry of its own. The surgeon submits a written report describing exactly what was performed so the service can be reviewed.

Rates data updated July 2026.

How much does Unlisted Bone Or Muscle Procedure Of The Head cost?

$3,802

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $4,786 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 6 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$692$692 to $54,954
FacilityA hospital or hospital-owned outpatient department$4,786$1,413 to $7,244

How much rates vary

Facilitymedian $4,786 · 10th to 90th $589 to $8,318Professionalmedian $692 · 10th to 90th $398 to $64,565
$100$1K$10Kfacility $4,786professional $692

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
$1,023.29
Median
$5,370.32
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$691.83
Typical High
$1,412.54
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$64,565.42
Typical High
$64,565.42
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$338.84
Typical High
$870.96
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,981.07
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,412.54
Typical High
$7,762.47
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$35.48
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$616.60
Typical High
$3,890.45

Where Pennsylvania sits

The same service costs 42.7 times more in Wisconsin than in Wyoming. 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.

Pennsylvania· 18th of 49

$3,802

WI $12,589WY $295

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.