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Open Biopsy Of A Bone Near The Skin Surface

North Carolina 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?

$1,917

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $1,917 for this procedure. That total is two separate charges: $257 to the doctor who performs it, and $1,660 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$257$158 to $372
Facility feeThe hospital or surgery center$1,660$240 to $6,607

How much rates vary

Facilitymedian $1,660 · 10th to 90th $138 to $6,918Professionalmedian $257 · 10th to 90th $138 to $468
$100$200$500$1K$2K$5K$10Kfacility $1,660professional $257

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
$138.04
Median
$4,365.16
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$407.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$204.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$371.54
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$524.81
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$275.42
Typical High
$426.58
Medcost
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$398.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$229.09
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$6,309.57
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$208.93
Typical High
$363.08
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$28,840.32
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,737.80
Typical High
$1,737.80

Where North Carolina 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

North Carolina· 41st of 50

$1,917

$257 physician + $1,660 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.