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Deep Bone Needle Biopsy

South Dakota 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?

$1,198

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

Insurers have agreed to pay about $1,198 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $661 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$537$269 to $955
Facility feeThe hospital or surgery center$661$251 to $2,344

How much rates vary

Facilitymedian $661 · 10th to 90th $182 to $4,365Professionalmedian $537 · 10th to 90th $129 to $1,995
$100$200$500$1K$2K$5Kfacility $661professional $537

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
$426.58
Median
$3,090.30
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$407.38
Typical High
$2,041.74
Avera
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$1,096.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$467.74
Typical High
$1,348.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$1,122.02
Typical High
$5,495.41
Midlands
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$1,174.90
Midlands
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$1,174.90
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$602.56
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$363.08
Typical High
$1,148.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$288.40
Typical High
$933.25

Where South Dakota 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 Dakota· 47th of 51

$1,198

$537 physician + $661 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.