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Open Biopsy Of A Bone Near The Skin Surface

Massachusetts 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?

$3,053

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

Insurers have agreed to pay about $3,053 for this procedure. That total is two separate charges: $234 to the doctor who performs it, and $2,818 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$234$162 to $324
Facility feeThe hospital or surgery center$2,818$1,778 to $3,715

How much rates vary

Facilitymedian $2,818 · 10th to 90th $200 to $5,623Professionalmedian $234 · 10th to 90th $138 to $427
$100$500$2K$10Kfacility $2,818professional $234

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
$1,412.54
Median
$2,818.38
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$223.87
Typical High
$630.96
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$4,897.79
Typical High
$28,840.32
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$275.42
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$257.04
Typical High
$426.58
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$181.97
Typical High
$3,467.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$245.47
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$245.47
Typical High
$398.11
Health New England
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$5,888.44
Typical High
$5,888.44
Health New England
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$120.23
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$4,897.79
Typical High
$28,840.32
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$281.84
Typical High
$489.78

Where Massachusetts 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

Massachusetts· 27th of 50

$3,053

$234 physician + $2,818 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.