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New York rates for MS-DRG 478

Biopsies of musculoskeletal system & connective tissue w CC

Facilitymedian $61,660 · 10th–90th $23,442$95,4990%10%10th90th$61,660$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$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
$19,498.45 / $51,286.14 / $95,499.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $77,624.71 / $100,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $69,183.10 / $89,125.09
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $63,095.73 / $154,881.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $48,977.88 / $81,283.05