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Deep Bone Needle Biopsy

New Jersey 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?

$5,858

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $5,858 for this procedure. That total is two separate charges: $363 to the doctor who performs it, and $5,495 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$363$126 to $575
Facility feeThe hospital or surgery center$5,495$3,467 to $7,244

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,349 to $9,333Professionalmedian $363 · 10th to 90th $107 to $1,259
$100$200$500$1K$2K$5K$10Kfacility $5,495professional $363

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
$741.31
Median
$5,495.41
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$354.81
Typical High
$1,659.59
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$4,073.80
Typical High
$11,748.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$354.81
Typical High
$1,318.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$478.63
Typical High
$616.60
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,248.07
Typical High
$7,585.78
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$426.58
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,128.61
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$309.03
Typical High
$1,096.48

Where New Jersey 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

New Jersey· 2nd of 51

$5,858

$363 physician + $5,495 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.