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Deep Bone Needle Biopsy

Ohio 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?

$3,962

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

Insurers have agreed to pay about $3,962 for this procedure. That total is two separate charges: $331 to the doctor who performs it, and $3,631 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$331$132 to $617
Facility feeThe hospital or surgery center$3,631$1,585 to $4,365

How much rates vary

Facilitymedian $3,631 · 10th to 90th $347 to $8,913Professionalmedian $331 · 10th to 90th $110 to $1,096
$100$200$500$1K$2K$5K$10Kfacility $3,631professional $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
$346.74
Median
$3,630.78
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$346.74
Typical High
$1,000.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,818.38
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$346.74
Typical High
$1,258.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$741.31
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,187.76
Typical High
$3,801.89
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$741.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$85.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$288.40
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,398.83
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$288.40
Typical High
$851.14

Where Ohio 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

Ohio· 14th of 51

$3,962

$331 physician + $3,631 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.