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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 October 2026.

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

$64,565

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $64,565 for this service. Most negotiated rates run $45,709 to $79,433.

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 $31,623 to $95,499
$5K$10K$20K$50K$100Kfacility $64,565

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$20,892.96
Median
$50,118.72
Typical High
$95,499.26
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$47,863.01
Median
$72,443.60
Typical High
$97,723.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$36,307.81
Median
$61,659.50
Typical High
$89,125.09
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$35,481.34
Median
$66,069.34
Typical High
$123,026.88
United
Setting
Facility
Modifier
None
Typical Low
$14,454.40
Median
$47,863.01
Typical High
$81,283.05

Where New York sits

The same service costs 239.9 times more in Alaska than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 2nd of 51

$64,565

AK $66,069HI $275

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.