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Deep Bone Needle Biopsy

Maryland 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?

$482

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

Insurers have agreed to pay about $482 for this procedure. That total is two separate charges: $324 to the doctor who performs it, and $158 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 $537
Facility feeThe hospital or surgery center$158$69.18 to $468

How much rates vary

Facilitymedian $158 · 10th to 90th $36 to $2,042Professionalmedian $324 · 10th to 90th $115 to $759
$50$100$200$500$1K$2Kfacility $158professional $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
$36.31
Median
$125.89
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$323.59
Typical High
$676.08
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$457.09
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$288.40
Typical High
$831.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$436.52
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$407.38
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$323.59
Typical High
$954.99
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$446.68
Typical High
$602.56

Where Maryland 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

Maryland· 51st of 51

$482

$324 physician + $158 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.