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Open Biopsy Of A Bone Near The Skin Surface

Michigan 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?

$3,662

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

Insurers have agreed to pay about $3,662 for this procedure. That total is two separate charges: $195 to the doctor who performs it, and $3,467 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$195$151 to $263
Facility feeThe hospital or surgery center$3,467$2,884 to $4,898

How much rates vary

Facilitymedian $3,467 · 10th to 90th $195 to $6,166Professionalmedian $195 · 10th to 90th $126 to $295
$50$200$1K$5Kfacility $3,467professional $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
$194.98
Median
$3,467.37
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$288.40
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$281.84
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$467.74
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$2,884.03
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$213.80
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$4,786.30
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$239.88
Typical High
$354.81

Where Michigan 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

Michigan· 21st of 50

$3,662

$195 physician + $3,467 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.