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Deep Bone Needle Biopsy

Virginia 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?

$1,460

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

Insurers have agreed to pay about $1,460 for this procedure. That total is two separate charges: $363 to the doctor who performs it, and $1,096 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$363$151 to $575
Facility feeThe hospital or surgery center$1,096$209 to $3,548

How much rates vary

Facilitymedian $1,096 · 10th to 90th $138 to $6,761Professionalmedian $363 · 10th to 90th $120 to $955
$100$200$500$1K$2K$5K$10Kfacility $1,096professional $363

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
$199.53
Median
$2,187.76
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$363.08
Typical High
$1,096.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$338.84
Typical High
$741.31
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$162.18
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$295.12
Typical High
$933.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$457.09
Typical High
$549.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$1,174.90
Typical High
$1,479.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$346.74
Typical High
$933.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Sentara
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$3,388.44
Sentara
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$691.83
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,311.31
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$281.84
Typical High
$1,000.00

Where Virginia 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

Virginia· 42nd of 51

$1,460

$363 physician + $1,096 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.