go back

Deep Bone Needle Biopsy

Montana 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 October 2026.

How much does Deep Bone Needle Biopsy cost?

$856

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $856 for this procedure. That total is two separate charges: $240 to the doctor who performs it, and $617 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$240$195 to $589
Facility feeThe hospital or surgery center$617$195 to $676

How much rates vary

Facilitymedian $617 · 10th to 90th $195 to $851Professionalmedian $240 · 10th to 90th $126 to $661
$100$200$500$1K$2Kfacility $617professional $240

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$269.15
Typical High
$676.08
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$588.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$1,202.26
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$281.84
Typical High
$588.84
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$245.47
Typical High
$724.44
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$208.93
Typical High
$660.69
Providence
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$1,202.26
Typical High
$3,388.44
Providence
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$204.17
Typical High
$645.65
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,000.00
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$371.54
Typical High
$831.76

Where Montana sits

The same service costs 5.1 times more in Colorado than in North Dakota. 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

Montana· 50th of 51

$856

$240 physician + $617 facility

CO $4,353ND $853

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.