go back

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 July 2026.

How much does Deep Bone Needle Biopsy cost?

$407

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $407 for this service. Most negotiated rates run $138 to $776.

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.

How much rates vary

Facilitymedian $4,467 · 10th to 90th $4,467 to $4,467Professionalmedian $407 · 10th to 90th $138 to $776
$200$500$1K$2K$5Kfacility $4,467professional $407

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. 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
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$151.36
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$218.78
Typical High
$954.99
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$562.34
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$436.52
Typical High
$1,288.25

Where Vermont sits

The same service costs 3.4 times more in California than in Montana. 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.

Vermont· 28th of 51

$407

CA $794MT $234

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.