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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 July 2026.

How much does Deep Bone Needle Biopsy cost?

$714

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

Insurers have agreed to pay about $714 for this procedure. That total is two separate charges: $224 to the doctor who performs it, and $490 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$224$162 to $617
Facility feeThe hospital or surgery center$490$219 to $692

How much rates vary

Facilitymedian $490 · 10th to 90th $186 to $1,047Professionalmedian $224 · 10th to 90th $105 to $794
$100$500$2K$10K$50Kfacility $490professional $224

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
Professional
Modifier
Global
Typical Low
$100.00
Median
$190.55
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$281.84
Typical High
$870.96
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$645.65
Typical High
$977.24
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$645.65
Typical High
$977.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$371.54
Typical High
$1,096.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$257.04
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$363.08
Typical High
$933.25

Where Montana 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

Montana· 50th of 51

$714

$224 physician + $490 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.