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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 October 2026.

How much does Musculoskeletal/Connective Tissue Biopsy (with CC) cost?

$41,687

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $41,687 for this service. Most negotiated rates run $35,481 to $51,286.

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 $41,687 · 10th to 90th $25,119 to $61,660
$500$1K$2K$5K$10K$20K$50Kfacility $41,687

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$37,153.52
Median
$37,153.52
Typical High
$43,651.58
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$25,118.86
Median
$43,651.58
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$34,673.69
Median
$42,657.95
Typical High
$63,095.73
DeanCare
Setting
Facility
Modifier
None
Typical Low
$32,359.37
Median
$37,153.52
Typical High
$46,773.51
Medica
Setting
Facility
Modifier
None
Typical Low
$34,673.69
Median
$44,668.36
Typical High
$60,255.96
Quartz
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$28,183.83
Typical High
$48,977.88
Security Health
Setting
Facility
Modifier
None
Typical Low
$40,738.03
Median
$44,668.36
Typical High
$52,480.75
United
Setting
Facility
Modifier
None
Typical Low
$27,542.29
Median
$46,773.51
Typical High
$57,543.99

Where Wisconsin sits

The same service costs 239.9 times more in Alaska than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 18th of 51

$41,687

AK $66,069HI $275

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.