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Pennsylvania rates for MS-DRG 477

Biopsies of musculoskeletal system & connective tissue w MCC

Facilitymedian $56,234 · 10th–90th $28,840$79,4330%10%10th90th$56,234$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $57,543.99 / $81,283.05
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $61,659.50 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $52,480.75 / $72,443.60
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60,255.96 / $60,255.96 / $74,131.02
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $56,234.13 / $69,183.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $64,565.42 / $87,096.36
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $56,234.13 / $79,432.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $27,542.29 / $45,708.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $43,651.58 / $81,283.05