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Musculoskeletal/Connective Tissue Biopsy (with MCC)

Rhode Island 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?

$54,954

Typical facility fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $54,954 for this service. Most negotiated rates run $32,359 to $81,283.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $54,954 · 10th to 90th $9,772 to $120,226
$10.0K$20.0K$50.0K$100.0Kfacility $54,954

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$51,286.14
Median
$81,283.05
Typical High
$120,226.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$72,443.60
Typical High
$95,499.26
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$10,000.00
Typical High
$48,977.88

Where Rhode Island sits

The same service costs 4.2 times more in New York than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Rhode Island $54,954 · 23rd of 51
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.