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Open Biopsy Of A Bone Near The Skin Surface

New Jersey 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?

$6,075

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $6,075 for this procedure. That total is two separate charges: $186 to the doctor who performs it, and $5,888 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$186$141 to $309
Facility feeThe hospital or surgery center$5,888$4,467 to $7,943

How much rates vary

Facilitymedian $5,888 · 10th to 90th $1,549 to $10,965Professionalmedian $186 · 10th to 90th $126 to $1,148
$100$200$500$1K$2K$5K$10Kfacility $5,888professional $186

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
$1,258.93
Median
$5,888.44
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$181.97
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$263.03
Typical High
$524.81
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$213.80
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$9,120.11
Typical High
$14,454.40
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$177.83
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$186.21
Typical High
$407.38

Where New Jersey 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

New Jersey· 7th of 50

$6,075

$186 physician + $5,888 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.