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Deep Bone Needle Biopsy

Florida 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?

$4,597

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

Insurers have agreed to pay about $4,597 for this procedure. That total is two separate charges: $331 to the doctor who performs it, and $4,266 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$331$126 to $513
Facility feeThe hospital or surgery center$4,266$1,950 to $6,918

How much rates vary

Facilitymedian $4,266 · 10th to 90th $741 to $10,000Professionalmedian $331 · 10th to 90th $102 to $741
$1.0$10.0$100.0$1.0K$10.0Kfacility $4,266professional $331

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
$741.31
Median
$3,981.07
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$354.81
Typical High
$741.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$138.04
Typical High
$204.17
AvMed
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,511.89
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$302.00
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$707.95
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$263.03
Typical High
$794.33
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,786.30
Typical High
$9,549.93
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$269.15
Typical High
$562.34
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$97.72
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$3,235.94
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$302.00
Typical High
$831.76
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$173.78
Typical High
$398.11

Where Florida sits

The same service costs 12.4 times more in California than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeFlorida $4,597 · 7th of 51
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.