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Deep Bone Needle Biopsy

Maine 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?

$1,712

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

Insurers have agreed to pay about $1,712 for this procedure. That total is two separate charges: $331 to the doctor who performs it, and $1,380 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$331$141 to $537
Facility feeThe hospital or surgery center$1,380$1,380 to $1,380

How much rates vary

Facilitymedian $1,380 · 10th to 90th $1,380 to $3,388Professionalmedian $331 · 10th to 90th $112 to $708
$100$200$500$1K$2Kfacility $1,380professional $331

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$309.03
Typical High
$562.34
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$323.59
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$288.40
Typical High
$870.96
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$446.68
Typical High
$724.44
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$309.03
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$354.81
Typical High
$812.83

Where Maine 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

Maine· 38th of 51

$1,712

$331 physician + $1,380 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.