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Open Biopsy Of A Bone Near The Skin Surface

Maryland 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?

$305

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

Insurers have agreed to pay about $305 for this procedure. That total is two separate charges: $170 to the doctor who performs it, and $135 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$170$141 to $288
Facility feeThe hospital or surgery center$135$54.95 to $3,388

How much rates vary

Facilitymedian $135 · 10th to 90th $49 to $5,623Professionalmedian $170 · 10th to 90th $132 to $562
$50$100$200$500$1K$2K$5Kfacility $135professional $170

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
$48.98
Median
$72.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$158.49
Typical High
$575.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$151.36
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$457.09
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$229.09
Typical High
$331.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$151.36
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$616.60
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$218.78
Typical High
$346.74
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$158.49
Typical High
$199.53

Where Maryland 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

Maryland· 50th of 50

$305

$170 physician + $135 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.