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Open Biopsy Of A Bone Near The Skin Surface

Nationwide rates for HCPCS 20240

This procedure surgically opens the skin to remove a small sample of bone tissue from a bone that lies close to the surface of the body, such as one in the wrist, ankle, or lower leg, rather than a bone deep within the body. The sample is examined under a microscope to help diagnose conditions such as infection, tumors, or other bone disease. It's more involved than a needle biopsy but less involved than accessing a deep bone.

Rates data updated July 2026.

How much does Open Biopsy Of A Bone Near The Skin Surface cost?

$4,190

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $4,190 for this procedure. That total is two separate charges: $209 to the doctor who performs it, and $3,981 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 70 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$209$145 to $309
Facility feeThe hospital or surgery center$3,981$1,698 to $6,918

How much rates vary

Facilitymedian $3,981 · 10th to 90th $295 to $10,715Professionalmedian $209 · 10th to 90th $129 to $501
$100$500$2K$10Kfacility $3,981professional $209

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
$309.03
Median
$3,467.37
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$190.55
Typical High
$478.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$5,754.40
Typical High
$13,803.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$257.04
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$457.09
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$263.03
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$4,073.80
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$218.78
Typical High
$416.87

What it costs in each state

The same service costs 34.2 times more in Maine 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

Touch or drag across the chart to see any state's rate.

ME $10,423MD $305

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.

See more rates by state

Want provider-level rates data or 24+ months of history? We offer custom data extracts for a reasonable fee. To learn more, please email us.

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