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Deep Bone Needle Biopsy

Illinois 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.

Facilitymedian $1,738 · 10th–90th $347$5,6230%5%10th90th$1,738Professionalmedian $316 · 10th–90th $115$7080%5%10th90th$316$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$1,737.80
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$288.40
Typical High
$758.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,398.83
Typical High
$3,090.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$363.08
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$263.03
Typical High
$724.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$501.19
Typical High
$1,202.26
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$162.18
Typical High
$489.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,137.96
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$346.74
Typical High
$912.01