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Open Biopsy Of A Bone Near The Skin Surface

Alabama 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?

$2,594

Typical total for the visit. In Alabama, July 2026.

Insurers have agreed to pay about $2,594 for this procedure. That total is two separate charges: $195 to the doctor who performs it, and $2,399 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$195$145 to $229
Facility feeThe hospital or surgery center$2,399$1,259 to $3,090

How much rates vary

Facilitymedian $2,399 · 10th to 90th $776 to $3,890Professionalmedian $195 · 10th to 90th $129 to $309
$100$200$500$1K$2K$5Kfacility $2,399professional $195

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
$758.58
Median
$1,122.02
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$194.98
Typical High
$309.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$61.66
Typical High
$123.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,884.03
Typical High
$3,890.45
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$239.88
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$239.88
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,884.03
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$371.54

Where Alabama sits

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

Alabama· 32nd of 50

$2,594

$195 physician + $2,399 facility

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.