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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 October 2026.

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

$37,154

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $37,154 for this service. Most negotiated rates run $23,988 to $46,774.

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 $37,154 · 10th to 90th $19,498 to $54,954
$5K$10K$20K$50Kfacility $37,154

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
$22,387.21
Median
$40,738.03
Typical High
$57,543.99
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$22,387.21
Median
$43,651.58
Typical High
$60,255.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$21,379.62
Median
$40,738.03
Typical High
$60,255.96
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$43,651.58
Median
$43,651.58
Typical High
$52,480.75
Geisinger
Setting
Facility
Modifier
None
Typical Low
$18,197.01
Median
$34,673.69
Typical High
$57,543.99
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$24,547.09
Median
$42,657.95
Typical High
$51,286.14
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$22,387.21
Median
$40,738.03
Typical High
$58,884.37
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$19,054.61
Median
$22,387.21
Typical High
$38,018.94
United
Setting
Facility
Modifier
None
Typical Low
$11,220.18
Median
$36,307.81
Typical High
$53,703.18

Where Pennsylvania 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.

Pennsylvania· 29th of 51

$37,154

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.