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Open Biopsy Of A Bone Near The Skin Surface

Florida 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?

$5,298

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

Insurers have agreed to pay about $5,298 for this procedure. That total is two separate charges: $170 to the doctor who performs it, and $5,129 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$170$135 to $229
Facility feeThe hospital or surgery center$5,129$2,138 to $8,710

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,047 to $12,023Professionalmedian $170 · 10th to 90th $129 to $372
$50$200$1K$5Kfacility $5,129professional $170

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
$870.96
Median
$4,570.88
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$169.82
Typical High
$389.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$128.82
Typical High
$223.87
AvMed
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,019.95
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$1,202.26
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$213.80
Typical High
$416.87
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$8,511.38
Typical High
$16,982.44
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$123.03
Typical High
$281.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,754.40
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$346.74
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$144.54

Where Florida 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

Florida· 11th of 50

$5,298

$170 physician + $5,129 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.