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Open Biopsy Of A Bone Near The Skin Surface

Kentucky 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?

$2,486

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

Insurers have agreed to pay about $2,486 for this procedure. That total is two separate charges: $195 to the doctor who performs it, and $2,291 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$195$138 to $245
Facility feeThe hospital or surgery center$2,291$1,413 to $3,802

How much rates vary

Facilitymedian $2,291 · 10th to 90th $282 to $5,495Professionalmedian $195 · 10th to 90th $126 to $380
$50$100$200$500$1K$2K$5Kfacility $2,291professional $195

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
$147.91
Median
$851.14
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$177.83
Typical High
$398.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$4,365.16
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$223.87
Typical High
$380.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$173.78
Typical High
$229.09
CareSource
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$173.78
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$316.23
Typical High
$1,737.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$3,388.44
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$239.88
Typical High
$346.74

Where Kentucky 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

Kentucky· 34th of 50

$2,486

$195 physician + $2,291 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.