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Musculoskeletal/Connective Tissue Biopsy (with CC)

Ohio 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?

$34,674

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $34,674 for this service. Most negotiated rates run $28,840 to $44,668.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $34,674 · 10th to 90th $21,380 to $52,481
$5.0K$10.0K$20.0K$50.0Kfacility $34,674

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
$28,840.32
Median
$41,686.94
Typical High
$58,884.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$30,199.52
Typical High
$46,773.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$38,904.51
Typical High
$56,234.13
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$32,359.37
Typical High
$57,543.99
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$19,498.45
Typical High
$48,977.88
United
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$34,673.69
Typical High
$54,954.09

Where Ohio 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.

Ohio $34,674 · 32nd 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.