go back

Musculoskeletal/Connective Tissue Biopsy (with CC)

New York 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?

$64,565

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $64,565 for this service. Most negotiated rates run $42,658 to $81,283.

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 $64,565 · 10th to 90th $26,915 to $95,499
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $64,565

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
$19,952.62
Median
$50,118.72
Typical High
$95,499.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$51,286.14
Median
$81,283.05
Typical High
$100,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$69,183.10
Typical High
$89,125.09
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$60,255.96
Typical High
$125,892.54
United
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$48,977.88
Typical High
$81,283.05

Where New York 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.

New York $64,565 · 1st 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.