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Deep Bone Needle Biopsy

Connecticut 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?

$5,375

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

Insurers have agreed to pay about $5,375 for this procedure. That total is two separate charges: $363 to the doctor who performs it, and $5,012 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$363$162 to $617
Facility feeThe hospital or surgery center$5,012$4,169 to $6,310

How much rates vary

Facilitymedian $5,012 · 10th to 90th $813 to $8,511Professionalmedian $363 · 10th to 90th $112 to $1,175
$100$200$500$1K$2K$5K$10Kfacility $5,012professional $363

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
$588.84
Median
$5,128.61
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$363.08
Typical High
$1,071.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,365.16
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$389.05
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$338.84
Typical High
$1,318.26
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$741.31
Typical High
$1,659.59
Health New England
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$6,025.60
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$371.54
Typical High
$1,148.15

Where Connecticut 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

Connecticut· 4th of 51

$5,375

$363 physician + $5,012 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.