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Deep Bone Needle Biopsy

Vermont 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 October 2026.

How much does Deep Bone Needle Biopsy cost?

$1,913

Typical total for the visit. In Vermont, October 2026.

Insurers have agreed to pay about $1,913 for this procedure. That total is two separate charges: $468 to the doctor who performs it, and $1,445 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$468$186 to $676
Facility feeThe hospital or surgery center$1,445$1,445 to $1,445

How much rates vary

Facilitymedian $1,445 · 10th to 90th $1,259 to $1,445Professionalmedian $468 · 10th to 90th $145 to $851
$100$200$500$1Kfacility $1,445professional $468

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$467.74
Typical High
$776.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$263.03
Typical High
$741.31
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$630.96
Typical High
$741.31
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$489.78
Typical High
$1,071.52

Where Vermont sits

The same service costs 5.1 times more in Colorado than in North Dakota. 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

Vermont· 14th of 51

$1,913

$468 physician + $1,445 facility

CO $4,353ND $853

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.