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Washington rates for MS-DRG 478

Biopsies of musculoskeletal system & connective tissue w CC

Facilitymedian $60,256 · 10th–90th $36,308–$102,3290%10%10th90th$60,256$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $63,095.73 / $131,825.67
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $42,657.95 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $52,480.75 / $81,283.05
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $41,686.94 / $41,686.94
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $44,668.36 / $67,608.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $46,773.51 / $63,095.73
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $48,977.88 / $70,794.58