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Open Biopsy Of A Bone Near The Skin Surface

Georgia 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?

$3,402

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

Insurers have agreed to pay about $3,402 for this procedure. That total is two separate charges: $240 to the doctor who performs it, and $3,162 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$240$162 to $347
Facility feeThe hospital or surgery center$3,162$1,549 to $5,370

How much rates vary

Facilitymedian $3,162 · 10th to 90th $955 to $7,244Professionalmedian $240 · 10th to 90th $138 to $437
$200$500$1K$2K$5K$10Kfacility $3,162professional $240

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
$380.19
Median
$3,630.78
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$457.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$281.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,884.03
Typical High
$6,606.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$426.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$181.97
Typical High
$489.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$239.88
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$3,890.45
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$245.47
Typical High
$380.19

Where Georgia 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

Georgia· 24th of 50

$3,402

$240 physician + $3,162 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.