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Open Biopsy Of A Bone Near The Skin Surface

Indiana 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?

$10,191

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

Insurers have agreed to pay about $10,191 for this procedure. That total is two separate charges: $191 to the doctor who performs it, and $10,000 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$191$138 to $295
Facility feeThe hospital or surgery center$10,000$4,898 to $15,136

How much rates vary

Facilitymedian $10,000 · 10th to 90th $1,096 to $17,783Professionalmedian $191 · 10th to 90th $129 to $479
$200$500$1K$2K$5K$10K$20Kfacility $10,000professional $191

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
$204.17
Median
$4,897.79
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$147.91
Typical High
$630.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$154.88
Typical High
$177.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$11,220.18
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$457.09
CareSource
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$141.25
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$338.84
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$245.47
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,370.32
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$218.78
Typical High
$371.54

Where Indiana 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

Indiana· 2nd of 50

$10,191

$191 physician + $10,000 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.