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Musculoskeletal/Connective Tissue Biopsy (with CC)

California rates for MS-DRG 478

Biopsies of Musculoskeletal System and Connective Tissue with CC

Rates data updated July 2026.

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

$58,884

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $58,884 for this service. Most negotiated rates run $35,481 to $83,176.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $58,884 · 10th to 90th $10,715 to $102,329
$100.0$1.0K$10.0K$100.0Kfacility $58,884

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
$33,113.11
Median
$54,954.09
Typical High
$97,723.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$61,659.50
Typical High
$102,329.30
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$42,657.95
Typical High
$81,283.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$47,863.01
Typical High
$87,096.36
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$89,125.09
Median
$89,125.09
Typical High
$89,125.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$50,118.72
Typical High
$97,723.72
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$42,657.95
Typical High
$95,499.26

Where California sits

The same service costs 3.2 times more in New York than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $58,884 · 4th of 51
NY $64,565NM $19,953

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.