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Musculoskeletal/Connective Tissue Biopsy (with CC)

Wisconsin 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?

$44,668

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $44,668 for this service. Most negotiated rates run $34,674 to $54,954.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $44,668 · 10th to 90th $24,547 to $66,069
$500.0$2.0K$10.0K$50.0Kfacility $44,668

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
$37,153.52
Median
$43,651.58
Typical High
$45,708.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$46,773.51
Typical High
$67,608.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$38,904.51
Typical High
$69,183.10
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$37,153.52
Typical High
$46,773.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$43,651.58
Typical High
$70,794.58
Quartz
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$28,183.83
Typical High
$36,307.81
Security Health
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$50,118.72
Typical High
$52,480.75
United
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$45,708.82
Typical High
$57,543.99

Where Wisconsin 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.

Wisconsin $44,668 · 14th 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.