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Open Biopsy Of A Bone Near The Skin Surface

Colorado 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?

$6,070

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

Insurers have agreed to pay about $6,070 for this procedure. That total is two separate charges: $182 to the doctor who performs it, and $5,888 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$182$138 to $229
Facility feeThe hospital or surgery center$5,888$3,090 to $9,550

How much rates vary

Facilitymedian $5,888 · 10th to 90th $282 to $12,882Professionalmedian $182 · 10th to 90th $138 to $355
$200$500$1K$2K$5K$10K$20Kfacility $5,888professional $182

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
$1,479.11
Median
$4,365.16
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$144.54
Typical High
$269.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,549.93
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$1,737.80
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$239.88
Typical High
$371.54
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$234.42
Typical High
$371.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$199.53
Typical High
$380.19
Select Health
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$234.42
Typical High
$269.15
Select Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$158.49
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,011.87
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$398.11

Where Colorado 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

Colorado· 8th of 50

$6,070

$182 physician + $5,888 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.