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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.

Facilitymedian $955 · 10th–90th $145$6,1660%5%10%10th90th$955Professionalmedian $389 · 10th–90th $123$1,1750%5%10th90th$389$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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