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Deep Bone Needle Biopsy

West 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?

$4,959

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

Insurers have agreed to pay about $4,959 for this procedure. That total is two separate charges: $282 to the doctor who performs it, and $4,677 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$282$126 to $417
Facility feeThe hospital or surgery center$4,677$363 to $7,762

How much rates vary

Facilitymedian $4,677 · 10th to 90th $126 to $16,596Professionalmedian $282 · 10th to 90th $117 to $575
$100$200$500$1K$2K$5K$10Kfacility $4,677professional $282

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
$125.89
Median
$4,677.35
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$281.84
Typical High
$575.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$165.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$354.81
Typical High
$2,187.76
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$5,248.07
Typical High
$9,549.93
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,230.27
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$275.42
Typical High
$1,122.02

Where West 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

West Virginia· 5th of 51

$4,959

$282 physician + $4,677 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.