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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 July 2026.

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

$89,125

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $89,125 for this service. Most negotiated rates run $60,256 to $114,815.

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 $38,905 to $134,896
$20K$50K$100Kfacility $89,125

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
$29,512.09
Median
$74,131.02
Typical High
$134,896.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$72,443.60
Median
$114,815.36
Typical High
$141,253.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61,659.50
Median
$95,499.26
Typical High
$125,892.54
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$85,113.80
Typical High
$173,780.08
United
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$72,443.60
Typical High
$117,489.76

Where New York sits

The same service costs 4.2 times more in New York than in Michigan. 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· 1st of 51

$89,125

NY $89,125MI $21,380

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.