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Open Biopsy Of A Bone Near The Skin Surface

Illinois 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?

$2,119

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

Insurers have agreed to pay about $2,119 for this procedure. That total is two separate charges: $214 to the doctor who performs it, and $1,905 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$214$151 to $269
Facility feeThe hospital or surgery center$1,905$1,148 to $4,169

How much rates vary

Facilitymedian $1,905 · 10th to 90th $288 to $5,888Professionalmedian $214 · 10th to 90th $129 to $380
$100$200$500$1K$2K$5K$10Kfacility $1,905professional $214

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
$288.40
Median
$1,862.09
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$199.53
Typical High
$363.08
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$154.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$3,715.35
Typical High
$5,011.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$213.80
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$389.05
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$309.03
Typical High
$891.25
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$177.83
Typical High
$190.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,388.44
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$245.47
Typical High
$380.19

Where Illinois 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

Illinois· 39th of 50

$2,119

$214 physician + $1,905 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.