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Open Biopsy Of A Bone Near The Skin Surface

Missouri 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?

$2,438

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

Insurers have agreed to pay about $2,438 for this procedure. That total is two separate charges: $200 to the doctor who performs it, and $2,239 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$200$145 to $295
Facility feeThe hospital or surgery center$2,239$1,122 to $3,548

How much rates vary

Facilitymedian $2,239 · 10th to 90th $269 to $5,623Professionalmedian $200 · 10th to 90th $129 to $741
$200$500$1K$2K$5K$10Kfacility $2,239professional $200

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
$144.54
Median
$2,511.89
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$186.21
Typical High
$831.76
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$169.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$245.47
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$154.88
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$380.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$316.23
Typical High
$9,120.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$257.04
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,630.27
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$338.84

Where Missouri 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

Missouri· 35th of 50

$2,438

$200 physician + $2,239 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.