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Open Biopsy Of A Bone Near The Skin Surface

South Dakota 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?

$587

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

Insurers have agreed to pay about $587 for this procedure. That total is two separate charges: $263 to the doctor who performs it, and $324 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$263$174 to $324
Facility feeThe hospital or surgery center$324$219 to $2,692

How much rates vary

Facilitymedian $324 · 10th to 90th $158 to $4,365Professionalmedian $263 · 10th to 90th $117 to $398
$200$500$1K$2K$5Kfacility $324professional $263

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$141.25
Typical High
$331.13
Avera
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$281.84
Typical High
$2,630.27
Avera
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$158.49
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$323.59
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$234.42
Typical High
$562.34
Medica
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$302.00
Typical High
$1,698.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$346.74
Typical High
$346.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$338.84
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$263.03
Typical High
$407.38
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$275.42
Typical High
$323.59

Where South Dakota 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 Dakota· 46th of 50

$587

$263 physician + $324 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.