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Massachusetts rates for MS-DRG 478

Biopsies of musculoskeletal system & connective tissue w CC

Facilitymedian $38,019 · 10th–90th $16,982–$64,5650%10%10th90th$38,019$500.0$2.0K$10.0K$50.0K

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
$18,620.87 / $38,018.94 / $64,565.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $35,481.34 / $93,325.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $35,481.34 / $54,954.09
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $346.74 / $53,703.18
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $34,673.69 / $93,325.43
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $35,481.34 / $93,325.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $28,183.83 / $74,131.02