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Musculoskeletal/Connective Tissue Biopsy (without CC/MCC)

Ohio 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?

$26,303

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $26,303 for this service. Most negotiated rates run $21,380 to $33,884.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $26,303 · 10th to 90th $16,218 to $39,811
$20K$50Kfacility $26,303

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
$21,877.62
Median
$31,622.78
Typical High
$44,668.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$22,908.68
Typical High
$35,481.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$29,512.09
Typical High
$42,657.95
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$24,547.09
Typical High
$43,651.58
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$14,791.08
Typical High
$36,307.81
United
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$25,703.96
Typical High
$41,686.94

Where Ohio 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.

Ohio· 30th of 51

$26,303

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.