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Deep Bone Needle Biopsy

Utah 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?

$4,096

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

Insurers have agreed to pay about $4,096 for this procedure. That total is two separate charges: $380 to the doctor who performs it, and $3,715 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$380$126 to $759
Facility feeThe hospital or surgery center$3,715$2,692 to $4,571

How much rates vary

Facilitymedian $3,715 · 10th to 90th $832 to $6,026Professionalmedian $380 · 10th to 90th $115 to $933
$50$100$200$500$1K$2K$5Kfacility $3,715professional $380

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
$831.76
Median
$3,715.35
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$380.19
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$776.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$954.99
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,162.28
Typical High
$4,897.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$398.11
Typical High
$1,023.29
Select Health
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Select Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$229.09
Typical High
$707.95
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$501.19
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$269.15
Typical High
$758.58

Where Utah 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

Utah· 12th of 51

$4,096

$380 physician + $3,715 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.