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Musculoskeletal/Connective Tissue Biopsy (without CC/MCC)

California rates for MS-DRG 479

Biopsies of Musculoskeletal System and Connective Tissue without CC/MCC

Rates data updated July 2026.

How much does Musculoskeletal/Connective Tissue Biopsy (without CC/MCC) cost?

$44,668

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $44,668 for this service. Most negotiated rates run $28,184 to $63,096.

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 $10,715 to $77,625
$200$1K$5K$20K$100Kfacility $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
$28,840.32
Median
$41,686.94
Typical High
$74,131.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$46,773.51
Typical High
$77,624.71
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$30,199.52
Typical High
$60,255.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$36,307.81
Typical High
$66,069.34
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$66,069.34
Median
$66,069.34
Typical High
$66,069.34
Providence
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$38,018.94
Typical High
$74,131.02
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$33,113.11
Typical High
$72,443.60

Where California sits

The same service costs 3.3 times more in New York than in New Mexico. 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.

California· 5th of 51

$44,668

NY $48,978NM $14,791

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.