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Musculoskeletal/Connective Tissue Biopsy (with MCC)

New York rates for MS-DRG 477

Biopsies of Musculoskeletal System and Connective Tissue with MCC

Rates data updated October 2026.

How much does Musculoskeletal/Connective Tissue Biopsy (with MCC) cost?

$89,125

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $89,125 for this service. Most negotiated rates run $64,565 to $112,202.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $89,125 · 10th to 90th $43,652 to $134,896
$5K$10K$20K$50K$100K$200Kfacility $89,125

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
$29,512.09
Median
$70,794.58
Typical High
$134,896.29
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$67,608.30
Median
$102,329.30
Typical High
$138,038.43
Cigna
Setting
Facility
Modifier
None
Typical Low
$51,286.14
Median
$87,096.36
Typical High
$123,026.88
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$50,118.72
Median
$91,201.08
Typical High
$169,824.37
United
Setting
Facility
Modifier
None
Typical Low
$19,054.61
Median
$69,183.10
Typical High
$117,489.76

Where New York sits

The same service costs 338.8 times more in Alaska than in Hawaii. 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.

New York· 2nd of 51

$89,125

AK $93,325HI $275

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.