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Open Biopsy Of A Bone Near The Skin Surface

Oregon 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?

$551

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

Insurers have agreed to pay about $551 for this procedure. That total is two separate charges: $269 to the doctor who performs it, and $282 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$269$204 to $355
Facility feeThe hospital or surgery center$282$269 to $407

How much rates vary

Facilitymedian $282 · 10th to 90th $200 to $6,166Professionalmedian $269 · 10th to 90th $138 to $417
$50$200$1K$5K$20Kfacility $282professional $269

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
$346.74
Median
$5,623.41
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$269.15
Typical High
$331.13
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$281.84
Typical High
$457.09
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$446.68
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$275.42
Typical High
$371.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$288.40
Typical High
$467.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$281.84
Typical High
$416.87
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$9,332.54
Typical High
$11,220.18
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$331.13
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$8,709.64
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$436.52

Where Oregon 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

Oregon· 47th of 50

$551

$269 physician + $282 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.