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Open Biopsy Of A Bone Near The Skin Surface

South Carolina 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?

$5,658

Typical total for the visit. In South Carolina, July 2026.

Insurers have agreed to pay about $5,658 for this procedure. That total is two separate charges: $162 to the doctor who performs it, and $5,495 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$162$138 to $209
Facility feeThe hospital or surgery center$5,495$417 to $9,120

How much rates vary

Facilitymedian $5,495 · 10th to 90th $166 to $16,596Professionalmedian $162 · 10th to 90th $123 to $347
$50$200$1K$5K$20Kfacility $5,495professional $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
$162.18
Median
$7,244.36
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$162.18
Typical High
$331.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,888.44
Typical High
$9,549.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$776.25
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$269.15
Typical High
$371.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$257.04
Typical High
$512.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$10,715.19
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$363.08

Where South Carolina 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

South Carolina· 10th of 50

$5,658

$162 physician + $5,495 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.