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Open Biopsy Of A Bone Near The Skin Surface

Washington, DC 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?

$229

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $229 for this service. Most negotiated rates run $141 to $3,388.

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.

How much rates vary

Facilitymedian $3,548 · 10th to 90th $339 to $7,762Professionalmedian $141 · 10th to 90th $135 to $316
$200$500$1K$2K$5K$10K$20Kfacility $3,548professional $141

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
$141.25
Median
$3,467.37
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$141.25
Typical High
$229.09
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$1,778.28
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$281.84
Typical High
$380.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$302.00
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$10,000.00
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$245.47
Typical High
$407.38

Where Washington, DC sits

The same service costs 18.6 times more in California than in Delaware. 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.

Washington, DC· 34th of 51

$229

CA $2,630DE $141

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.