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Washington rates for MS-DRG 477

Biopsies of musculoskeletal system & connective tissue w MCC

Facilitymedian $85,114 · 10th–90th $51,286–$144,5440%10%10th90th$85,114$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
$57,543.99 / $89,125.09 / $186,208.71
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $61,659.50 / $81,283.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $74,131.02 / $112,201.85
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37,153.52 / $46,773.51 / $58,884.37
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $64,565.42 / $100,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $67,608.30 / $91,201.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $69,183.10 / $100,000.00