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Open Biopsy Of A Bone Near The Skin Surface

Iowa 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?

$3,894

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

Insurers have agreed to pay about $3,894 for this procedure. That total is two separate charges: $263 to the doctor who performs it, and $3,631 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$263$191 to $347
Facility feeThe hospital or surgery center$3,631$2,818 to $6,026

How much rates vary

Facilitymedian $3,631 · 10th to 90th $316 to $7,762Professionalmedian $263 · 10th to 90th $138 to $794
$200$500$1K$2K$5K$10Kfacility $3,631professional $263

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
$812.83
Median
$3,630.78
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$229.09
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$398.11
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$489.78
Typical High
$7,079.46
Medica
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$338.84
Typical High
$1,698.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$346.74
Typical High
$467.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$426.58
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$229.09
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$6,309.57
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$263.03
Typical High
$467.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$263.03
Typical High
$309.03

Where Iowa 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

Iowa· 18th of 50

$3,894

$263 physician + $3,631 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.