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Musculoskeletal/Connective Tissue Biopsy (with CC)

Virginia 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?

$38,019

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $38,019 for this service. Most negotiated rates run $28,184 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $38,019 · 10th to 90th $21,878 to $54,954
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $38,019

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
$34,673.69
Median
$42,657.95
Typical High
$50,118.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$45,708.82
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$38,904.51
Typical High
$58,884.37
Sentara
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$32,359.37
Typical High
$50,118.72
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$33,884.42
Typical High
$67,608.30

Where Virginia 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.

Virginia $38,019 · 26th 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.