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Unlisted Bone Or Muscle Procedure Of The Head

Virginia 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 October 2026.

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

$1,072

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $977 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,365$1,288 to $7,079
FacilityA hospital or hospital-owned outpatient department$977$398 to $2,455

How much rates vary

Facilitymedian $977 · 10th to 90th $158 to $8,318Professionalmedian $4,365 · 10th to 90th $871 to $10,233
$100$200$500$1K$2K$5K$10Kfacility $977professional $4,365

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$5,623.41
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$4,365.16
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$7,079.46
Median
$8,128.31
Typical High
$12,882.50
CareFirst
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$5,128.61
Typical High
$6,918.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$794.33
Typical High
$5,495.41
Sentara
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$933.25
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,479.11
Typical High
$10,232.93
United
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$660.69
Typical High
$2,041.74

Where Virginia sits

The same service costs 55.0 times more in Alabama than in Montana. 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· 13th of 51

$1,072

AL $4,365MT $79.43

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.