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Musculoskeletal/Connective Tissue Biopsy (with CC)

Texas 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?

$30,903

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $30,903 for this service. Most negotiated rates run $21,380 to $41,687.

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 $30,903 · 10th to 90th $14,454 to $58,884
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $30,903

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
$23,442.29
Median
$35,481.34
Typical High
$66,069.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$23,988.33
Typical High
$41,686.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$38,018.94
Typical High
$69,183.10
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$89,125.09
Median
$89,125.09
Typical High
$89,125.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$30,902.95
Typical High
$74,131.02
United
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$24,547.09
Typical High
$56,234.13

Where Texas 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.

Texas $30,903 · 34th 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.