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Deep Bone Needle Biopsy

New Mexico 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?

$1,712

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

Insurers have agreed to pay about $1,712 for this procedure. That total is two separate charges: $331 to the doctor who performs it, and $1,380 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$331$138 to $537
Facility feeThe hospital or surgery center$1,380$363 to $5,495

How much rates vary

Facilitymedian $1,380 · 10th to 90th $155 to $8,511Professionalmedian $331 · 10th to 90th $105 to $692
$50$200$1K$5Kfacility $1,380professional $331

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
$177.83
Median
$562.34
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$331.13
Typical High
$676.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$6,309.57
Typical High
$10,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$436.52
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$281.84
Typical High
$954.99
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$309.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$331.13
Typical High
$1,000.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$281.84
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$3,630.78
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$363.08
Typical High
$1,047.13

Where New Mexico 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 Mexico· 37th of 51

$1,712

$331 physician + $1,380 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.