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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.

Facilitymedian $661 · 10th–90th $182$4,3650%5%10%10th90th$661Professionalmedian $537 · 10th–90th $129$1,9950%10%10th90th$537$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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