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Open Biopsy Of A Bone Near The Skin Surface

Montana 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?

$475

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

Insurers have agreed to pay about $475 for this procedure. That total is two separate charges: $229 to the doctor who performs it, and $245 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$229$195 to $269
Facility feeThe hospital or surgery center$245$240 to $347

How much rates vary

Facilitymedian $245 · 10th to 90th $219 to $7,762Professionalmedian $229 · 10th to 90th $129 to $363
$100$1K$10K$100Kfacility $245professional $229

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
Professional
Modifier
Global
Typical Low
$128.82
Median
$204.17
Typical High
$316.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$257.04
Typical High
$309.03
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$371.54
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$371.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$309.03
Typical High
$426.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$218.78
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$251.19
Typical High
$363.08

Where Montana 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

Montana· 48th of 50

$475

$229 physician + $245 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.