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Musculoskeletal/Connective Tissue Biopsy (with CC)

Illinois 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?

$28,184

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $28,184 for this service. Most negotiated rates run $23,442 to $33,884.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $28,184 · 10th to 90th $562 to $41,687
$100.0$500.0$2.0K$10.0K$50.0Kfacility $28,184

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
$24,547.09
Median
$31,622.78
Typical High
$41,686.94
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$27,542.29
Typical High
$39,810.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$26,302.68
Typical High
$48,977.88
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$309.03
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$30,199.52
Typical High
$43,651.58

Where Illinois 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.

Illinois $28,184 · 39th 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.