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Open Biopsy Of A Bone Near The Skin Surface

Ohio 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?

$3,618

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

Insurers have agreed to pay about $3,618 for this procedure. That total is two separate charges: $229 to the doctor who performs it, and $3,388 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$229$158 to $324
Facility feeThe hospital or surgery center$3,388$1,778 to $6,607

How much rates vary

Facilitymedian $3,388 · 10th to 90th $214 to $12,023Professionalmedian $229 · 10th to 90th $135 to $550
$1$10$100$1K$10Kfacility $3,388professional $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
Facility
Modifier
Global
Typical Low
$177.83
Median
$3,311.31
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$2,951.21
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$208.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,388.44
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$269.15
Typical High
$436.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$229.09
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$363.08
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$213.80
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$123.03
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,168.69
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$194.98
Typical High
$331.13

Where Ohio 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

Ohio· 22nd of 50

$3,618

$229 physician + $3,388 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.