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Deep Bone Needle Biopsy

Colorado rates for HCPCS 20225

This procedure collects a small sample of bone tissue from a deeper location in the body, such as a vertebra or the thigh bone, using a needle passed through the skin. The sample is sent to a lab to help diagnose conditions such as infection, tumor, or unexplained bone changes.

Rates data updated July 2026.

How much does Deep Bone Needle Biopsy cost?

$4,173

Typical total for the visit. In Colorado, July 2026.

Insurers have agreed to pay about $4,173 for this procedure. That total is two separate charges: $372 to the doctor who performs it, and $3,802 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$372$126 to $525
Facility feeThe hospital or surgery center$3,802$832 to $6,457

How much rates vary

Facilitymedian $3,802 · 10th to 90th $219 to $8,128Professionalmedian $372 · 10th to 90th $117 to $759
$100$200$500$1K$2K$5K$10Kfacility $3,802professional $372

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
$257.04
Median
$3,235.94
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$371.54
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$398.11
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,023.29
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$323.59
Typical High
$912.01
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$354.81
Typical High
$1,122.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$380.19
Typical High
$1,071.52
Select Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$229.09
Typical High
$794.33
Select Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,548.13
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$416.87
Typical High
$977.24

Where Colorado sits

The same service costs 12.4 times more in California than in Maryland. 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.

Physician feeFacility fee

Colorado· 10th of 51

$4,173

$372 physician + $3,802 facility

CA $5,995MD $482

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.