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Open Biopsy Of A Bone Near The Skin Surface

Pennsylvania 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?

$4,053

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

Insurers have agreed to pay about $4,053 for this procedure. That total is two separate charges: $162 to the doctor who performs it, and $3,890 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 11 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$162$135 to $234
Facility feeThe hospital or surgery center$3,890$1,950 to $5,888

How much rates vary

Facilitymedian $3,890 · 10th to 90th $759 to $8,318Professionalmedian $162 · 10th to 90th $126 to $309
$50$200$1K$5Kfacility $3,890professional $162

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
$645.65
Median
$3,981.07
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$158.49
Typical High
$309.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,165.95
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$363.08
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$199.53
Typical High
$257.04
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$186.21
Typical High
$338.84
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$4,677.35
Typical High
$13,182.57
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$151.36
Typical High
$239.88
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$3,801.89
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$588.84
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$316.23
Typical High
$338.84
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,698.24
Typical High
$2,951.21
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$138.04
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,715.35
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$190.55
Typical High
$323.59

Where Pennsylvania 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

Pennsylvania· 16th of 50

$4,053

$162 physician + $3,890 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.