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Open Biopsy Of A Bone Near The Skin Surface

New Mexico 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?

$2,259

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

Insurers have agreed to pay about $2,259 for this procedure. That total is two separate charges: $170 to the doctor who performs it, and $2,089 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$170$148 to $219
Facility feeThe hospital or surgery center$2,089$234 to $7,413

How much rates vary

Facilitymedian $2,089 · 10th to 90th $186 to $11,482Professionalmedian $170 · 10th to 90th $126 to $389
$50$200$1K$5Kfacility $2,089professional $170

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
$186.21
Median
$1,000.00
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$186.21
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$8,317.64
Typical High
$13,182.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$169.82
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$263.03
Typical High
$467.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$204.17
Providence
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$281.84
Typical High
$354.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$263.03
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$6,918.31
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$245.47
Typical High
$389.05

Where New Mexico 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 Mexico· 38th of 50

$2,259

$170 physician + $2,089 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.