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Deep Bone Needle Biopsy

South 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?

$2,715

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

Insurers have agreed to pay about $2,715 for this procedure. That total is two separate charges: $316 to the doctor who performs it, and $2,399 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$316$148 to $479
Facility feeThe hospital or surgery center$2,399$437 to $6,310

How much rates vary

Facilitymedian $2,399 · 10th to 90th $155 to $9,772Professionalmedian $316 · 10th to 90th $110 to $776
$100$500$2K$10Kfacility $2,399professional $316

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
$5,248.07
Typical High
$16,982.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$323.59
Typical High
$758.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$120.23
Typical High
$204.17
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$3,890.45
Typical High
$7,079.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$263.03
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$776.25
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$263.03
Typical High
$1,000.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$346.74
Typical High
$1,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$6,309.57
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$323.59
Typical High
$912.01

Where South 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

South Carolina· 24th of 51

$2,715

$316 physician + $2,399 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.