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California rates for MS-DRG 478

Biopsies of musculoskeletal system & connective tissue w CC

Facilitymedian $58,884 · 10th–90th $10,233–$102,3290%10%20%10th90th$58,884$100.0$500.0$2.0K$10.0K$50.0K$200.0K

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
$28,840.32 / $52,480.75 / $107,151.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $61,659.50 / $102,329.30
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $41,686.94 / $81,283.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $47,863.01 / $87,096.36
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89,125.09 / $89,125.09 / $89,125.09
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $50,118.72 / $97,723.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $43,651.58 / $95,499.26