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Open Biopsy Of A Bone Near The Skin Surface

Tennessee 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?

$2,816

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

Insurers have agreed to pay about $2,816 for this procedure. That total is two separate charges: $186 to the doctor who performs it, and $2,630 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$186$138 to $240
Facility feeThe hospital or surgery center$2,630$1,820 to $4,074

How much rates vary

Facilitymedian $2,630 · 10th to 90th $617 to $6,607Professionalmedian $186 · 10th to 90th $129 to $417
$100$500$2K$10Kfacility $2,630professional $186

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
$380.19
Median
$2,290.87
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$109.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$4,168.69
Typical High
$5,888.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$234.42
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$229.09
Typical High
$363.08
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$28,840.32
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,467.37
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$208.93
Typical High
$363.08

Where Tennessee 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

Tennessee· 31st of 50

$2,816

$186 physician + $2,630 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.