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Deep Bone Needle Biopsy

Michigan 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?

$3,425

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

Insurers have agreed to pay about $3,425 for this procedure. That total is two separate charges: $263 to the doctor who performs it, and $3,162 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$263$126 to $537
Facility feeThe hospital or surgery center$3,162$1,288 to $4,074

How much rates vary

Facilitymedian $3,162 · 10th to 90th $178 to $4,898Professionalmedian $263 · 10th to 90th $110 to $676
$100$200$500$1K$2K$5Kfacility $3,162professional $263

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
$177.83
Median
$3,162.28
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$269.15
Typical High
$676.08
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$251.19
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$257.04
Typical High
$741.31
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$1,659.59
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$426.58
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,884.03
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$302.00
Typical High
$812.83

Where Michigan 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

Michigan· 20th of 51

$3,425

$263 physician + $3,162 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.