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Open Biopsy Of A Bone Near The Skin Surface

Idaho 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?

$2,271

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

Insurers have agreed to pay about $2,271 for this procedure. That total is two separate charges: $229 to the doctor who performs it, and $2,042 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$229$195 to $288
Facility feeThe hospital or surgery center$2,042$316 to $5,370

How much rates vary

Facilitymedian $2,042 · 10th to 90th $162 to $7,244Professionalmedian $229 · 10th to 90th $141 to $347
$200$500$1K$2K$5K$10Kfacility $2,042professional $229

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
$1,621.81
Median
$4,466.84
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$204.17
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,715.35
Typical High
$7,413.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$275.42
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$275.42
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$302.00
Typical High
$457.09
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$234.42
Typical High
$338.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$6,456.54
Typical High
$9,332.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$389.05
Select Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$2,951.21
Typical High
$4,786.30
Select Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$218.78
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$5,888.44
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$245.47
Typical High
$398.11

Where Idaho 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

Idaho· 37th of 50

$2,271

$229 physician + $2,042 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.