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Deep Bone Needle Biopsy

Kentucky 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?

$2,457

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

Insurers have agreed to pay about $2,457 for this procedure. That total is two separate charges: $269 to the doctor who performs it, and $2,188 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$269$120 to $490
Facility feeThe hospital or surgery center$2,188$1,259 to $3,467

How much rates vary

Facilitymedian $2,188 · 10th to 90th $363 to $4,365Professionalmedian $269 · 10th to 90th $95 to $646
$100$200$500$1K$2K$5Kfacility $2,188professional $269

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
$851.14
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$269.15
Typical High
$562.34
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$169.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$4,365.16
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$309.03
Typical High
$616.60
CareSource
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$162.18
Typical High
$208.93
CareSource
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$162.18
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$426.58
Typical High
$2,187.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$2,089.30
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$295.12
Typical High
$977.24

Where Kentucky 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

Kentucky· 28th of 51

$2,457

$269 physician + $2,188 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.