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Deep Bone Needle Biopsy

North Carolina 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?

$1,344

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $1,344 for this procedure. That total is two separate charges: $389 to the doctor who performs it, and $955 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$389$174 to $741
Facility feeThe hospital or surgery center$955$389 to $1,905

How much rates vary

Facilitymedian $955 · 10th to 90th $145 to $6,166Professionalmedian $389 · 10th to 90th $123 to $1,175
$100$200$500$1K$2K$5K$10Kfacility $955professional $389

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
$169.82
Median
$1,348.96
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$389.05
Typical High
$1,096.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$218.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$630.96
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$524.81
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$338.84
Typical High
$1,202.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,479.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$363.08
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,467.37
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$323.59
Typical High
$933.25
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$19,498.45
Typical High
$28,840.32
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$5,623.41

Where North Carolina 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

North Carolina· 44th of 51

$1,344

$389 physician + $955 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.