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Open Biopsy Of A Bone Near The Skin Surface

Maine 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?

$10,423

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

Insurers have agreed to pay about $10,423 for this procedure. That total is two separate charges: $191 to the doctor who performs it, and $10,233 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$158 to $219
Facility feeThe hospital or surgery center$10,233$10,233 to $10,233

How much rates vary

Facilitymedian $10,233 · 10th to 90th $10,233 to $10,233Professionalmedian $191 · 10th to 90th $141 to $275
$200$500$1K$2K$5K$10Kfacility $10,233professional $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
$10,232.93
Median
$10,232.93
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$186.21
Typical High
$218.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$269.15
Typical High
$398.11
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$190.55
Typical High
$363.08
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,232.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$208.93
Typical High
$316.23

Where Maine 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

Maine· 1st of 50

$10,423

$191 physician + $10,233 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.