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Open Biopsy Of A Bone Near The Skin Surface

Arizona 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?

$3,294

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

Insurers have agreed to pay about $3,294 for this procedure. That total is two separate charges: $204 to the doctor who performs it, and $3,090 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$204$148 to $269
Facility feeThe hospital or surgery center$3,090$2,042 to $5,012

How much rates vary

Facilitymedian $3,090 · 10th to 90th $550 to $6,761Professionalmedian $204 · 10th to 90th $129 to $417
$200$500$1K$2K$5Kfacility $3,090professional $204

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
$1,737.80
Median
$3,890.45
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$199.53
Typical High
$630.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$123.03
Typical High
$208.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,454.71
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$190.55
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$218.78
Typical High
$338.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$263.03
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$234.42
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,019.95
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$208.93
Typical High
$316.23

Where Arizona 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

Arizona· 25th of 50

$3,294

$204 physician + $3,090 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.