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Musculoskeletal/Connective Tissue Biopsy (with MCC)

Texas 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?

$43,652

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $43,652 for this service. Most negotiated rates run $31,623 to $63,096.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $43,652 · 10th to 90th $20,893 to $93,325
$10K$20K$50K$100K$200Kfacility $43,652

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
$32,359.37
Median
$60,255.96
Typical High
$81,283.05
Ambetter
Setting
Facility
Modifier
None
Typical Low
$43,651.58
Median
$43,651.58
Typical High
$52,480.75
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$19,054.61
Median
$39,810.72
Typical High
$69,183.10
Cigna
Setting
Facility
Modifier
None
Typical Low
$30,902.95
Median
$53,703.18
Typical High
$109,647.82
Moda Health
Setting
Facility
Modifier
None
Typical Low
$30,902.95
Median
$81,283.05
Typical High
$81,283.05
Providence
Setting
Facility
Modifier
None
Typical Low
$31,622.78
Median
$58,884.37
Typical High
$114,815.36
United
Setting
Facility
Modifier
None
Typical Low
$13,489.63
Median
$42,657.95
Typical High
$95,499.26

Where Texas 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.

Texas· 36th of 51

$43,652

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.