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Deep Bone Needle Biopsy

Indiana 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?

$5,452

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

Insurers have agreed to pay about $5,452 for this procedure. That total is two separate charges: $324 to the doctor who performs it, and $5,129 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$324$126 to $490
Facility feeThe hospital or surgery center$5,129$1,380 to $8,318

How much rates vary

Facilitymedian $5,129 · 10th to 90th $363 to $10,000Professionalmedian $324 · 10th to 90th $110 to $708
$100$200$500$1K$2K$5K$10Kfacility $5,129professional $324

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
$144.54
Median
$933.25
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$323.59
Typical High
$537.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$162.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$8,128.31
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$302.00
Typical High
$954.99
CareSource
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$128.82
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$954.99
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$281.84
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$323.59
Typical High
$912.01

Where Indiana 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

Indiana· 3rd of 51

$5,452

$324 physician + $5,129 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.