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Musculoskeletal/Connective Tissue Biopsy (with CC)

Pennsylvania 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?

$36,308

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $36,308 for this service. Most negotiated rates run $23,988 to $45,709.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $36,308 · 10th to 90th $19,953 to $52,481
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $36,308

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
$22,387.21
Median
$37,153.52
Typical High
$53,703.18
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$43,651.58
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$38,904.51
Typical High
$51,286.14
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$43,651.58
Typical High
$52,480.75
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$40,738.03
Typical High
$50,118.72
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$38,904.51
Typical High
$51,286.14
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$37,153.52
Typical High
$53,703.18
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$22,908.68
Typical High
$38,018.94
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$31,622.78
Typical High
$57,543.99

Where Pennsylvania 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.

Pennsylvania $36,308 · 29th 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.