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Deep Bone Needle Biopsy

Wisconsin 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 $3,631 · 10th–90th $339$6,1660%5%10%10th90th$3,631Professionalmedian $513 · 10th–90th $126$1,9050%5%10th90th$513$50.0$200.0$1.0K$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
$263.03
Median
$3,388.44
Typical High
$4,265.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$389.05
Typical High
$2,041.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,677.35
Typical High
$7,079.46
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$588.84
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,174.90
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$588.84
Typical High
$1,778.28
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$426.58
Typical High
$3,548.13
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$398.11
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$457.09
Typical High
$4,786.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$1,071.52
Typical High
$5,495.41
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$147.91
Network Health
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$3,890.45
Typical High
$4,570.88
Network Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$676.08
Typical High
$1,737.80
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$331.13
Typical High
$812.83
Quartz
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$436.52
Typical High
$1,202.26
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,884.03
Typical High
$19,498.45
Quartz
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$1,949.84
Typical High
$5,623.41
Security Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$1,318.26
Security Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$812.83
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,630.78
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$489.78
Typical High
$1,621.81