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Musculoskeletal/Connective Tissue Biopsy (with CC)

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $34,674 for this service. Most negotiated rates run $31,623 to $67,608.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $34,674 · 10th to 90th $28,184 to $69,183
$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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$63,095.73
Typical High
$69,183.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$34,673.69
Typical High
$67,608.30
United
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$28,183.83
Typical High
$87,096.36

Where Vermont 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.

Vermont $34,674 · 31st 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.