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Deep Bone Needle Biopsy

Massachusetts 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?

$2,217

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

Insurers have agreed to pay about $2,217 for this procedure. That total is two separate charges: $355 to the doctor who performs it, and $1,862 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$355$166 to $575
Facility feeThe hospital or surgery center$1,862$191 to $3,311

How much rates vary

Facilitymedian $1,862 · 10th to 90th $148 to $3,715Professionalmedian $355 · 10th to 90th $123 to $955
$100$200$500$1K$2K$5K$10Kfacility $1,862professional $355

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
$524.81
Median
$2,691.53
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$346.74
Typical High
$741.31
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$3,162.28
Typical High
$28,840.32
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$363.08
Typical High
$1,479.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$346.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$323.59
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$346.74
Typical High
$1,096.48
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$3,467.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$512.86
Typical High
$724.44
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,630.78
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$371.54
Typical High
$954.99
Health New England
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,388.44
Typical High
$3,630.78
Health New England
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$331.13
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$3,162.28
Typical High
$28,840.32
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$363.08
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$3,630.78
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$380.19
Typical High
$1,148.15

Where Massachusetts 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

Massachusetts· 31st of 51

$2,217

$355 physician + $1,862 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.